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�LECTRICAL PE�MIT APFLIC/�Tln�l <br /> CITY OF EVEFtETT PERMlT SERVICE� <br /> 3200 CEDAR STREET, EVERETf, WA 982U1 � �i -� �' <br /> 425-257-8810 - �AX 47_5-257-8857 -www.everettwa.org � <br /> APPLICATIONS AFE.QCCEPI ED FROM 8 AM TO 4 PM '- �'' '�C 1�' -C.�'^; L-� <br /> "l� :, <br /> PROJECT ADDRESS <br /> i <br /> ' /l- <br /> Owner Mail Address Cily State/Zip Phone I, <br /> Tenanl Mail Address City Slate/Zip Phone <br /> � 5L� ) <br /> .�L� , �;�:( C / ( ;i / !! i'Dncx %�'�`/ S/Utfll/1/�� C�'/- �;S'' )// 5i< <�i( <br /> Electrical Contraclor Mail Address City Slate!Zip Phone <br /> ,�L/�1//�.�' ."Jl: i� /. /j "_. <br /> ���,. <br /> Slale License Number Conlrad Price of Wor4�. <br /> Proposed Use of Building Cont�r( person (Plan Revie�vj <br /> </lC /-' / �/ �' ' " , _ <br /> Description oi'JJork lo I3c Dune: << �� �=" __ <br />` NOTE: WIRING IPJ NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ;� �C� <br /> �i <br /> I <br />� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />� 1 heraby caiily 17iat I ha��e read nnd exarnined this application and kno�v the sarne to be true and <br /> correct. All prowsions o/la�vs and ordinances governmg fhis fype ol�vork n�ill be completed <br /> whether specdied herein or noL The granting o/a permrt does nof resume fo give authorify to <br /> viola(e or cancel fhe provisions o/any other state or local lau�reguPfing construchon or the <br /> pe�forrnance of wnstrucfion. That 1 am aufhonzed by fhe o�vner o/this property fo pedorm fhe � <br /> �vo�k Ior whiclr applicafion is made and 1 cornply�vith the Slate Confracfors L.aw 18.2i RCtN and '1 . <br /> 296.200 WAC. � � <br /> , <br /> ��.I�� � <br /> ���� « ��,- � � "-� �/� <<� � , <br /> Signalure �Dale �-�� <br /> i• <br />