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�' <br /> ,. <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �0 3� 3 14�� ..4vt 5� <br /> PROJECTADDRESS <br /> y�s- <br /> �1's3 ~ 55,j <br /> � In nl c.� i 7 3 7l n1 c b 7 F4 co��l t�Z o o l2e.lr+�w✓� (,� l`�' $o S Z <br /> Ownef MailAdtlrzss City Sla�e/Zip Phone <br /> ` II cG Y��- <br /> S��f� �c71`G �V.33 j � I�� �VL F� �V'.rCIT � /0 ZC� 3 3 � - i y�3 <br /> Tenant Mail Atldress City Slale/Zip Phone <br /> �J J ' <br /> _ �c-rr.i ,Utc�./ c � 7�Jvo /�� �,�sc,.v �.� �ucrf� �vE- �7�fzo'S 77��-FjfS3S <br /> Electncal ontractor MailAddress city State2ip phone <br /> ,8��rr� .✓cv X S� 3 � /b o, o_. <br /> State Licens Number Contract Price of Work <br /> G�r',v:'L S'TLot l�l o�.t�. <br /> Proposed Use of Building Con�act Person (Plan Review) <br /> Description of Work to Be Done: /,v;��4 L C ��) Cr� o� r t S/e k ,7�•t c l.t,v ,� <br /> / F i�G-F�-� 4 �I1 �„ r,P [ - <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERE i"i LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily that I have read and examined this applica6on and know the same to be true and <br /> covect All provisions of laws and ordi�ances goveming th�s type oI work will be complefed <br /> whether specdied her»in or noL The granfing o(a permd does nof resume to give au(honty fo <br /> viola�e or cancel the provisions o/any other state or locallaw reguPting construction or ths <br /> pedcnnance ol cons(iuction. That I am authonzed by fhe owner o(this propeAy to peAorm the <br /> �vork lor�vhich,applicafion is made and I compty wifh the State Con!racrors Lsw 78.27 RCW and <br /> 296.200 WAC. <br /> ��.%/ / ! <br /> —�'gnalu e D:,te <br /> ���6-� S <br /> �oa-� ti 5 8 <br />