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� ' / <br />� � �-/ � <� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES -: <br />3200 CF_DAR 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 />, ( `/1 / ��,� <br />� J ,I�I( I/C.'!icj _1 �l 7-i�/ <br />PROJECT ADDRESS J <br />-�,� ,���� �,�„ s � � <br />L ' v2_ K -� <br />?`� "� �� f 1� c�o �ri� I I <br />4 :w .� �� �J,e� <br />-., ..,� <br />Owne� h1ail Address Ciry Slale2ip Phonc <br />� � �, '� r S <br />{ ' . `„��v.-.� <br />�-�� l7U-�` , � � � `r <br />l�I�� ��"„ I� s <br />Tenant ndail Address Cily State2ip Phone <br />Y�l � ., ,,-V- <br />Eleclrical Contractor <br />�ir � �� ,� �l c'c-4': � � <br />Afail Address <br />� � (� c.� , <br />City <br />;-�,1 C'vl-1 V����� �. n 1,1,� <br />Slate2ip Phone y �� <br />= � > � : I `� �.s <br />lbl �, �� N� v� `� 7`� 1 i (�- �( ; a•�-'� <br />Stale License Num6er Coniracl Price of Work <br />' 1 <br />� � qt- ; -� � .'<< � � ( �, � ( �� �-�,� � , ., r <br />Proposed Use of Building Conlacl Person (Plan Revie�v) <br />... � j�. ; . � i( _ r� •s •o vi ,-,� ( <br />Description o( Work to Dr �. ne: �. r' <<. w,h .c' � ::c: c. �.,- — t � \ <br />: , ��, <br />� <br />1_ ...3'� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, A1C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceridy fhaf 1 have read and ea.�mined fhis npplicatien and kno�v fhe same lo oe Vue and <br />conect. All provisions o( la�vs and ordmances c�ovenun� this f}�pe o� �ro�k will L+e cornpleted <br />�vhether specJied hercin or not The gran(in� o! a pennd docs nof resume fo groe authonty to <br />violafe or cancel tBe provisions ol any oiher stafe or local fa�r reguPting conslruchon or fhe <br />periammnce ol construction. Thaf 1 am authorized by the owner o/ fhrs property to perform'he <br />�r��rk (or �vhirh applicalion is made and I compty �vilh the Sfafe Contractors La�v i827 RCW and <br />,'P(i 200 4VAC. � <br />/ <br />- �•;� �'' �-'7 <br />��%% , �;'� <br />�v7 �z c:r -�1-c�� � • <br />FEE <br />; �1L,. �� <br />