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r— <br /> ELECTRICAL PERM(T APPLICATIO[V <br /> CITY OF EVERETT PERMIT SER�JICES g �� _�a <br /> 3200 CEDAR STRCET, EVERETf, WA 98201 <br /> 425-257-8II 10 - FAX 425-257-8857 —vrvdw.everettwa.org L_/OD�v�� <br /> APPLICATIONS ARE ACCEPTED FRO� 8 AM TO 4 PM <br /> � � � �_ <br /> u `, <br /> _->>.�;� l�' rl,�� X � �-� j� °, )�� � <br /> -� �/ ( :, �- ,-d /—��`,: _� � ���� �vc.� � ;;J ��.� }� <br /> PROJECT FiJDRESS <br /> ,<. � � � .. , . - �; , _ . I�- �:L,, C�,�- ' . � <br /> � Owner � Mail Address City Slate2ip Phone <br /> ��. i '�-�� ` � <br /> Tenanl I Address <br /> City State2ip nhone <br /> . ,t oG <br /> V �� c `.�.1'� <br /> � i � , �(j � 3�� � 'C. ✓ /.�.—��= . <br /> �.sLF1 ���-t1-/�- � ('C/v�_ <br /> [leclrical Contraclor Mail Address Cily Stale/Zip Phonr. <br /> � - <br /> � -- c�, y , ���>� � <br /> �� '� � � �� � �� � C tno ract Price of Work � <br /> Stale Lieense Number , <br /> ;��� �-�. /�� , ��.. ul �"�!—�L'V ��'! <br /> "` ��'� t-LL- �� Conlact Person (Plan Revie�v) <br /> Proposed Use of 8uilding <br /> � .l � �/ 1,f9)a.��?` �'ri I L.�—��V <br /> Descr�n o1 Work to Bo Done: ,L� <br /> 1 � l� � `��_ � (d- P �/ l�F � 5` �30 6� �� <br /> NOTE: WIRING IN NON-DWELLINC�S IS REQUIRED TO FEE � I <br /> �F IN RACEWAYS, MC Of2 AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hersby certi(y that 1 have read and examined fhis application and kno�v fhe same to be Gue and ! � r�x-rJ_ L�'.� (v <br /> � corr�ct. All prowsions o(laws and ordinancos goveming flus t}'pr�o/work�ro'ill be r,ornplefed � `�Y� <br /> whether speci6^d herein or not The granting ol a pennd does nof �resurno to give au6ioril��to <br /> violafe or cancel the provisions of any ofher state or local law regulafing consUuction or the <br /> I per/omianc�o/conslrucfion. That I am aufhorized,by the owr�er o!fh�s property fo padorm fhe <br /> � work lor which applicafion is made and 1 compty�vdh fhe Siate Centractors La�v 18.27 RCW and <br /> 296.200 WAC. <br /> �' � ,' �',-- / (� _ �,/�� <br /> l , <br />� Si aWr� Date <br /> I ' <br /> I--.. - ._ __..----. <br />