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� <br /> ELEGTRICAL PERMiT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857–www.ever2ttwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � r- i <br /> �( % � �C= i c; `—`� �l l�� S� <br /> PROJECT ADDRESS <br /> _s(�O �\3s -<<Q y <br /> ) ` Z <br /> .�� I ) �7i�:.i('(L'��t[*- �� z ( .. �<..�� t��� ��� L- V'.+'11��� �JC-� . <br /> Owner Mail Address Cily Slate2ip Phone <br /> Tenant Mail Address GIy Slale/Zip Phone <br /> �">II�1�,S�i��9 ��Cc11't�- ! ���� l��. L'��i-�n��< .Q v� � �-`-7 `►lilC��,-i l.l..'[, �( ��.[Z ' <br /> ElectriCal Conttactor Mal Address Cily� Stale/Zip Phone <br /> / -�; <br /> s'l,-.-<<>S -�12b <br /> �o .i�-, er�� c��_�tiP7— �' / C� L�� -'— <br /> State License Number �C� I� Contrect Pnce of Work <br /> � � � �C - <br /> Proposed Use of Building , � Contact Person (Plan Re�iew) <br /> Description of Vlbrk to Be Done: �-\"Cc"71 (.�� �-+ ��^�� � j'f L�' • 1 — � (�-= ��� � ��U b � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE C�v <br /> BE IN RACEWAYS, MC OR AC CABLE. �''� .— <br /> �J <br /> CITY OF EVERET7 LOCAL SALES TAX CODE IS 3105 <br /> f} C�%Cll.. ' � i�'C�:11 <br /> I hereby certily fhat I have iead and ca�anrined fhis application and kno�v fhe same fo be t�ue and <br /> correcL All p�ovisions ol la�vs and ordmances govenung this type ol�vork u�dl be complefed <br /> �vhether specilied herem or noL The granfing oI a pemut does nof resume fo 9ive aufhonty fo <br /> viola(e or cancel the provrsons ol any other stafe or loca�la�v�e9uPfing construction or the <br /> perlorrnance o!construcf�on. Thaf I am aufhonzed by fhe o�xner o/fhis property fo pe�lonn the <br /> wark lor which applrcahon�s rnade and 1 comp'ry�vith Ihe Stafe Contractors Lan- 18.27 RCW and <br /> 296200 N'AC. <br /> CC.•YtJJ7 � � t..,y�-�— // `J` � �� �,�'� <br /> Si�naturc �ate <br /> '�1��� �� <br />