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' <br /> i <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org s, � � _ �Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM t=/Zp,S��06 <br /> 11 �51 I��, A�- � � 9b'�o ��' <br /> PRO.IECT ADDRESS <br /> S�e.w�� <br /> Owner �duil Address Ciry State/Zip Phone <br /> a�us�.�. _USA ro ��� IN6o� a�.c�:-�-�F -��: 9y5iy y�� 7�6 z3ao <br /> Tenan� M11ail Address City Slate2ip Phone <br /> T�,..��. �S s� s I�� P� E x QG`j�s Iu�w��C� Wu 9� � �b� GoE GRZ 8`l2� <br /> Electrical Contracto� h1ail Address City SlatelZip Phone <br /> r��DAs � y�� r-�� <br /> State License Number Contrect Price of Work <br /> C:"fc�.`� U,n i.G"� — <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> 1 1 <br /> Description of Work to Be Done: Lb�S�(l.1' �.4��1' f��[� (,�@U � C �S � I �'..0.�KF i 4.� 4µ�� <br /> ��.� )llv�`� �����"�"��S <br /> --� <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 /> 1 hereby certily that I have read end examii�ed fhis applicetion and know the seme to be true and � �Z J( _I D <br /> correct. All provisions ol/aws and ordinances governmg this type o/work will be completed � 7 L <br /> whether specrfied herein or noL The grenting o/a permrt does notp resume to give authonty ta <br /> violete or cancel the provisions o(eny other state or locel lew reguleting construchon or the <br /> peAormence o/construction. 76at I am authorized by lhe owner o/this property to peAorm fhe <br /> work lor which e lication is maJe and 1 comply with the Stete Contrectors Lew 1 B27 RCW and <br /> 29620�.�NAC. <br /> /� \� �� 'I� � ��� �� � <br /> tum Date <br /> U ���:�C� <br />