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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 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��izv illc�o��:�«A\ t�,�;��_���.,�, <br />PROJECT ADDRESS <br />Owne� <br />,.`c <br />..1�b1� � i`. ��`.� 1 <br />Mail Addrn,s City <br />Statn2ip <br />Phono <br />�_A� r ��� i�� ����\ 2 C` 1� �C�il,c�,a�� 11��1' �— UQ'1 ��� �,L� (� <br />Tenant MailAddross Ciry Statn2ip Phuno <br />�'\Z C" c�5�—I� <br />l�< �"\ � �l <_ \1�._\C �� il � ,.�.� ll �(�{l�'f�Ui 1.�.� I��u�=t��' U �i.Jl� 4ZS42=:�`IZ�C <br />EloctricalConhactor MailAddrass Cily Slato2lp Phano <br />i <br />\ i`1�_.����`;�� 1"li:i� <br />State License Number <br />l�'��ll`� L. <br />Proposed Use of Buildin� <br />Descripfion oF Work to Bo Donn �-- �\�.> <br />'�l'.� 11 ���A� C��.i�, . C� <br />C�� <br />`'� I .2-C; �(``� — <br />Contract P�ce of Work <br />Contact Person (Plan Reviaw) <br />� 1.�1 �l \ V iZ L F� �b.1�-17� <br />; � 1 ��� � -�:t�_ �\ \c�� �, <br />NOT[: WIRING IN NON-DWELLINGS IS REOUIRFD TO <br />B[ IN RF,CEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />FEE <br />1 hereby cerilly thef I have reed end esamined fhis eppliwfion end know fhe same to be frue end �(� l C,'� -� p( <br />correcL All p�ov�sions ol Inws end ordinences govermng th�s type ol wodc tvilf be crompleted <br />�vhefher specified heiein or noL The grenting o/ e permd does not pmsume fo give eufhority to <br />violale or cnncel fhe provisions o/ eny other stete or local le�v regulefing construtfion or fhe <br />peiformanc�t olconsfruc(ion. Thut I em sufhonzed by fhe ownerolfhis pmporty fo pedonn the <br />�vo�k (or which epplicefion is made end I comply witb fhe Stete Confrectors Lew 1827 RCW end <br />296100 WAC. <br />1 . <br />���A � _•.��.�. � ����Lc:,C��7 <br />0 1 ... �' Dato <br />