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r <br /> � �� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF FVERETT PERMIT SERVICES <br /> 3200 CEQAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.or� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �����s �<< i_`� A�� �5��� r i'%<' ���i� z� . <br /> ROJECT ADDRESS <br /> Ovmer MaiiAddross Ciry Stale2ip Phono <br /> i ' t h � i���� ..✓�Y<7� V�//-1 � Cl/U�� <br /> A4:.�.� 17�f. � 7 � <br /> Tenant � MaUAddross Clty Slatu2lp Phono <br /> �� L� � �Z� .� yl�f��✓C 6J�S�e. lt . l�f �' ��D W�t `I"'��75 yZS�=r/z3- <Is t, <br /> 7 . .,1—✓,) .r u .r_ I r_ <br /> Elec iCali.ontractof MailAddress City State2ip Phono <br /> � <br /> ,�,—I%� � F / � L�7 7�!2— �'=� eJDi� <br /> State License Number Contrad Price of Work <br /> �l A-1'� �'=x � I�) r l<-! <br /> Proposed Use of duilding Contact Person (Plan Review) <br /> Descriptionof�VorktoBeDona: �'�/�LC�wv`i' fw`'�✓�-��L��t ���I ) /Ir'.i��"lt(�1� r"l''JI��Z�'. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE iS 3105 <br /> I hore6y cerfi(y fhet I h3ve reed end exemined fhis epplicetion end know the seme fo be frue end <br /> coriect. All provisions ol lews end ordinences govem�ny fhis type of wo�lc will.he complefed <br /> whefherspacified herein or not. The granfing oI e permd does nof presuma fo yive authorify to <br /> violeta ar cencel fhe provisions ol eny other stefe or locel lew reguleGng consfrucfion or Ihe <br /> pe�/o�mence of construction. Tha!I em euthorized by tha ownero/fhis prope�fy fo peAorm fhe <br /> work/or whi h epplicefion is mede and f compty wdh fhe Stete Contrectors Lew 1827 RCW end <br /> 296 200 W�C. / , <br /> ��.�/'(/ ` (��f/U�(l <br /> Signaturo �Dale r <br /> V V/' �� <br />