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t <br /> �� � I. /�� , � /. , '�.� <br /> , ,... � ,i - , <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � - li-o5 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 C OS b7�1a � <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> � <br /> � /aS <br /> \1u'�� 1��� �:aesE , g�� ��0 �� <br /> PROJECT ADDRESS <br /> '(�Sl c,r� n e. S U�A c,,�e'L„��s-�,.-e. � s i�o13�x 1�s `1 S ��.�•�s l� w� �8 3q i <br /> Owner Mail Address Ciry State/Zip Phone <br /> �1 ���� �`J�,9 a�-�-< � y�/��. <br /> Tenant Mail Address City State/Zip Phone <br /> �1�5 � <br /> b�yrr,�^l� �t�c`� � �,�cc_Q �I�1g (elv�` 1`�UeI.J���� C1�ou,,��l-�o_It�T'eirc��e W� �1Kou3 ��N-o8ti11 <br /> Electrica Contractor Mail Address City State/Zip Phone <br /> o�..ymP �m� � � c� �� � � <br /> State License Number Contract Price of Work <br /> �tX'�' G'� \ � �T-S 1 �. �\.l,. U J�`�C.I.X_X <br /> Proposed Use o�ilding Contact Pers (Plan Review) <br /> Descriptian of Work to Be Done: ��� � � �./� � r�s��i <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certiiy thaf I have read and examined this application and kno�v the same to be true and <br /> coirect. All provisions ollaws and ordinances goveming this type of work will be c�mpleted <br /> whether speci6ed herein or not The granting of a permit does not presume to give authonty to <br /> violate or cancel the prowsions o(any other state or local law regulating construc6on cr the <br /> pedormance ol constru.:t�on. That/am authorizea by the owner of this property lo pe�form the <br /> �vo�k tor wnich application is made and I compty with the State Centracfcrs Law 18.27 RCW and <br /> 296.200 V✓AC. <br /> � � '//v�i G�U-E�.,.c t.t� i /� r1 ! 0.5 <br /> S�nawre � Oat <br /> /7 <br /> � ...� �� � �� . <br />