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ELECTRICAL PERMIT APPLICA�'ION <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 ACCCPTED FROM B AM TO 4 PM <br />i•J, i �;�! '�,./ rT �J'�.) �_v"<.vF1T/ !o/,� l t�?u°7 <br />PROJECT ADDRESS <br />y_g _0'7 <br />L D704-O�,� <br />� . �... ivF .. . �� .,`i-': { rN... 7 , �u;'i //L�Y/ ST foJ - ✓f...f TT i✓/(7 r'f _.. .> __— <br />Owner Mall Addross Clly Slate/Zip Phone <br />%.,. .n <br />Tonant <br />t i�zr�I Sf J�J <br />Mill Addre55 <br />Clly <br />�., f G.C� <br />Slate/Zip <br />Pfone <br />�:m^r :G�[il./(fl /^i. �%>, J�%c'/r � 4.�:.tvr✓.LCy C/..0 ��`i7L yCl�Yi..�i.-i. <br />Elecirical Conlractor A9ail Address Clly State/Zip Phene <br />c^,)���,o���(.�(i7 ��('''c� _ <br />Slala Llconso Nimibcr <br />�-�.����� �� .��OF'. 'F <br />Proposr•d 115i� ul Buil�hnq ---� <br />D[ttii'Iq�linilolANnILI�iPn�qqn• . ('___ ' ....1, '�_ .�+'_"__ <br />NOTL WIRING IN NON-DWELLINGS IS REQUIRED TO <br />�L IN RACEWAYS, MC OR AC CAE3LE <br />CITY OF EVERETT LOCAL SALES Tlll( CODE IS 3105 <br />�p <br />Os=, (� W -- <br />Contract Price o( Work <br />,Pc./ Ti� .zl� <br />Conl�r.l Person (Plan Rrview) <br />1 hernby curtily fhnf ! h�no roed and eznrnincd fhis applicnhon nnd kno�s fh� seme fo bo true anA <br />corrort All prowsiuns oi Inws nnd oniinonces goveminy fhis fype o/ �rorh �+ill Ge cornplefed <br />�+hrthor specilied herein or nnf. The grenfing o/ n pennif does nof ��esumo fo gi�'e nuthonty fo <br />viol,rte oi r,t�ncel0ie provisions ol an�� ofher shafe or locnl 1a�5 regu�ating conshucfion or fhe <br />perlommncr o/ consiruclion Thnf 1 am eufhorized by Ilre o�vnor o/ fhis property fo perfomr fha <br />�sorh !, r n�hicb �pplicnfion (s mede nnd I comply «�ith fhe Sfnfe ConfrActors Law 1 B 27 RCl1� enA <br />74)I; 700 11'AC. <br />�^ �� - <br />/� '�� <br />--- su6:�mre �--- <br />FEE <br />i �-,` / �, <br />