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{" <br /> �L�CTRICAL PERMIT APPLICATION <br /> CITY OF EVERET'T PERMiT SERVBCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—�r.vw.everettwa.org 8�-/�/Z <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��g—O0 � <br /> I ! C�'�I 1 `l�' �I .� 5� <br /> PROJECT ADDRESS <br /> J�l�= =,ir�i�6-G' (� i j�( (UG�iG��i :tr% I� 'V��-F`u-' (rL�''L�r u,f t',�u'i;/r ('1r �J�f�`%�� <br /> OwnO� Mail Address Ci�y Slate/Zip Phone <br /> + � . � <br /> �l'(li<lUl �L.S1-� � 1 D�� / '/�f�"I �f' �� CZ'E'-r/-�'�i- l,,.��F �/,-�'7-!�'_ <br /> Tenent Mail Address City /Lj$talelZip Phone <br /> � 771r-�S'�3S- <br /> ' ' % � � ' ��-r >S�<� <br /> !-��/i (.� :L` �f.�-1 ���i" ��t�s1t�r»s �/�-� i1rt��lc�t l2�1 �'� — 3 <br /> ElecUical C nlraclor ail Address City State/Zip Phone <br /> � f�� �vL�� 1'1C.� Q���� /C1G/�.. <br /> State License Number Contract Price of Work <br /> r'C'��11������ � T c e�� l 1�7;2��:�� S{'��lT� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> � / �'_ <br /> Description of Work to Be Done: =�-� ��(:,�' ��� ��1' l , � > � � <br /> � J, <br /> �,� ���(� i�, l�(..�1/����rtc �z'l��I�4�' " <br /> , <br /> � ;� � � >, <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> I � <br /> CITY OF EVERETT LOrpL SALES TAX CODE IS 3105 l/ <br /> 1 hereby ceAily fhat 1!uve read and examined(his application and know the same to be(rue and � � �J�� vU T <br /> correct Q�I provisions ol laws and ordinances govemmg this type ol work will be completed <br /> whe'ner specd�ed herein or noL The granting cI a permif does not presume to give autbonty to <br /> violafe or cancel the provisions ol any other slate or local law regulafing construc6on or the <br /> peAormance olconsfruc(�on. Thaf 1 am authorized by the ownero(tbis propeAy to pedorm the <br /> wo�k(or which application is made and 1 comply wifb fhe Stafe Contractors Law 18.27 RCW and <br /> 2�6200 WAC. <br /> A-- <br /> ;, '' i 1� ('.,. �i��/%��T <br /> , <br /> 1 Signa�ufe Dat <br />