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• <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org g..O�S3 <br /> &73 a <br /> APPLICATIONS ARE ACCEPTED FROM SW '94 <br /> TO 4 PM c ���/3 <br /> lg�yy �4"2 Z <br /> 6//J" 51?-// <br /> I '63 Jrtes � ' ,� C ill <br /> PROJECT ADDRESS <br /> Owner Mail Address City S#a#elZip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> r ir%I Le,ere,, ,pa Boar 79 / friel('r/``l(� � 9117° 3 4° 8 vSa n <br /> Electrical contractor Mail Address Gity S#a#eft#p Phohe <br /> _"-lam' �a <br /> f e7� � <br /> State License.Number contract Price of Work <br /> Proposed Use of Bttilding Contact Person (Plan Revie>l <br /> Square Footage(if residentiaimew construction,remodel or addition.) <br /> of`1/tlorl<to Be Done; � 1. �V cs D/5 217 /146t-e) l E -- <br /> Description J�/� ; <br /> MOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> co <br /> CITY OF EVERETT LOCAL BALES TAX CODE 1S 3105 <br /> 1 hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed L f 7,65c— „, <br /> whetherspecilled herein or not. The granting of a permit does not presume to give authority to t <br /> violate or cancel the provisions of any other state or local law regulting construction-or the <br /> performance of cons • - =• hat I am authorized by the owner of thisproperty to perform the <br /> work for •n is ma.•e and I comply with the State Contractors Law 18.27 RCW and <br /> 296. .e WAC. <br /> Y. 7 <br /> Si. atu e ia#. <br />