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� <br />. <br />;. <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 <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />_� �7�/�/ � ///li/J[➢rlp�l // /� ✓z= <br />PROJECTADDRESS � <br />� <br />Owner <br />� <br />1,1ad Address <br />City <br />%Z .�'�C:tJ <br />_ . ,�,�,-; <br />State/Zip <br />�'C,� C3 -�?�' U -�%(a 9 Z. <br />�� 9,�`.�c� <br />Phone <br />Tenan� A7atl Adtlmss _� / —� Gly„ /7 State2ip Phone <br />_S.S`:....�'� /J,5'• � cJir`fc�/ `�!.S <br />� �l��:.��. �. �y���:<,�,�{,' ,, 1 qc�� <br />�t��\;,Ar i,� ��i� `�c 7ro_ <br />[ledrical Contractor Maii Atltlress �� j� City State2p Phone <br />�L � <br />S l;. s� �4 �: 9�Si� A 3//5� �S ovc� — <br />State License Number � CoMract Pdce o( Work <br />�� <br />� / � �� � <br />c, �c�'Ct �P_. 1.:;, `� �i/t� �e'. v.✓.�� ! C� <br />i•/.i �S - .` iC�•.iC'\� / <br />Proposed Use of Bmlding Contact Person (Plan Review) <br />Description o( Work �o Be Done�. �-. <br />�v,'�� �i' 1,/�_� <br />i / / ' /�� <br />� ;- <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby cenily fhaf / have read and examined fhis applia <br />conact. All pmvisions ollaws and o�dmances govwnmg <br />n�hefher specdieA herein or not. Tho grantmg o/ a permd <br />wolafe or cancel the provrsions ol anv ofhei sfafe or local <br />perlormance ol construction. Thal I am aufhonzed by fhe <br />n�ork lor which application is made and�mply ivdh <br />?96 200 WAC� . " <br />/1 ; ;; <br />, �, ,-t�, _'' � <br />�- <br />� ' '� <br />:�/et' Oy1l t9 �U� <br />�CS' i�r riu , � � U��'J' <br />'�/ /' l ��/1 / <br />FEE <br />and Fno�v Ihe same to Ue true and �— �� 1�' �—��� � <br />�pe oI wo�h �wq be compleled <br />� nafp �esume fo give authonty to <br />e9ul.itmg consfrucfion or fhe <br />er o/ fhis property fo peAorm fhe <br />.T�ifractors Law 7827 RCW and <br />/ /�!u ���/ � <br />, < < ,�y ,���:_� -�� <br />