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1_ , � ,. <br /> .�n� � ��\ <br /> � I _ ; �%�:,9�� \''ll�' IU � <br /> I �-- `i —� <br /> ' l ELECTRICAL PERMIT' APPLICATION <br /> qPR 1 2 Z006 <br /> - CITY OF EVERETT PERMlT SERVICES <br /> GIT`r OF E�'E��TT 3200 CEDAR STREET, EVERETT, WA 98201 <br /> ���,����,,�:�i���ipuhlicSr:rvices 425-257-8810 - FAX425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �f9�o A -F��.� <br /> PROJECT ADDRESS <br /> Yz�-Z5t - y�� <br /> �,�k -�a y��- ,� �'�F�� �,�,�.� ��-�rr c,� �z�� <br /> Owne� Mail Atldress City State/Zip Pnone <br /> Tenant MailAddress City Slate2ip Phone <br /> r <br /> Qsy�� Rw.,�,�,� l�r��M, z7or ,b�llY s.- gsl(�„�„j`� A 96u� 360 -�33 -��io <br /> Electrical ContraCl� Mail Address City State:Zip Phone <br /> �r,y1uPK r�f? n�� <br /> State License Number Contract Price of Work <br /> �,�.(-�;�� _ Jorra, ,�e�� _ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> ' /� �' n _ � <br /> Description of Work to Ba�one: Up�rrt� I`���in r 4n�rr� n abt�¢I C Rss�t�l,�t� �,�Ji p�ti/ - <br /> —r� �-�y <br /> � <br /> �.r�/111�h.� �11I1__41.t_\dC.l(J• <br /> 1.�.." <br /> J <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � 3S. 00 <br /> CITY OF EVERET?LOC,SL SALE5 TAX CODE IS 3105 <br /> 1 hereby certily that I have road and examined this application and know fhe same to be We and <br /> conecL All provisions ollaH�s and ordrnancos goveming this type of work will be completeJ <br /> whefher spea�ed herein or nrL The granting of a pemut does nof resume to give outhonty to <br /> violate or cancel the provision�ol e�ny�'her stafe or looal law reguPating construcGon or the <br /> perfonnance ol construction. Thst'am aufhonzed 6y the owner o(this property to pedorm the <br /> work for which applica(ion is made�ind I comply wifh fhe Sfale Contractors Law 18.27 RCW and <br /> 296200 WAC. <br /> � �� r �/ 'J X / <br /> \ f'/�/-,rR- ' 'j �/'VG <br /> Signa!ure ate <br /> �O�O�-0'{C) <br />