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ELF=CTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT �ERUICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPI'ED FROM 8 AM TO 4 PM <br /> �,i(/1 / i - ' I�� �,./c-J t- <br /> 1 <br /> PROJEC;ADDRESS �Z5"7jSIO���� <br /> / �(L>�I llr`���r/i,✓ Z �/e✓e�t �,✓!� ���� <br /> �GfC+_ � ; dl�� ��Gl/ ,'�t <br /> I Owner MailAddress Ciry StaVe/Zip l'Z� Phone <br /> -�' T <br /> _� �,� ��;��t ��! �����J �Ul�ll��,�'1�.� ��������-�- w� y�zo � 35Y-�rT�/ <br /> enanl Mail Address � Cily Slalc!Zip Phone <br /> --1-�L—�— - — <br /> Eleclrical Co�t�actor Mail Addross City State/Zip Phone <br /> Slate License Number Conlrect Nrice ot Work <br /> Proposad Use of Building Conlacl Person (Plan Review) <br /> Description o(Work lo Be Done: ��� �� � �j +—� (7���U k C�✓� � �����'J <br /> � ,�1 ��c�« cc� �� �t�- �. ����t��:f—,,�v� .��sr-��1 Sc����e <br /> c�l ;�C�-�;�� Ct�,Ct 6'1c� Iti'C'i,✓ S ��i1"C ��� - <br />� � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE —� <br /> BL" IN RACEWAYS, N1C OR AC CABLE. <br /> CITY OF EVERETi LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cerlily that/have read and examined fhis applicalion and knoe-� the same to be true and <br /> cerrecL All provisions o/la�vs and ordinances governuig this type ol tv�rk will be completed <br /> uhelher specdied herein or noL The granting of a permit does not resume fo give aufhonfy to <br /> violate or cancel Ihe provisons ol any olher state or lo�.al la�v reguP(ing consfruc(wn or fhe <br /> wor�k (onv��ich(a��1 cafior Is niade-aad�l com 1?��thyUt s Sfate ConlracforsP a�v 18 27 RCIN'anJ <br /> 296.200 WAC. �� -� �} <br /> �'1��,�r���--- 1 Z -13 - z�o � <br /> SignaWre �� Uate � � <br /> �� Z ��; � <br /> I -- <br />