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- -' -- -- -- -- -� <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–wvvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � `�l; �� �)('.(' i �l� 1 �(_� <br /> PROJECTADDRESS <br /> n r <br /> � n i. � � � � �!� i. l � 1 ��'� � < < il t" L �� I�`-�� . (�.L�CYC-� ,161'� `�g�i� (�r�'>1 ."I'� 1 ttN <br /> Owner � MailAddress Ciry StatelZip Pnone <br /> ('� . I�c�: l���� �. i� 1� � ; �`>u3 �'i.0 �i�_ Ilue C. �: c i � 1 �9; r � �_�f�`> >5�i - L•�I4(� <br /> Tenant Mall Address City StatelZ�p Phoae <br /> I'�II�f= �� �k�l V � , tJ ���>t � �t� � �cl f•'u �tr l;�i �I `�5L5�-? 1 �l�;� �l�'� - G���G� <br /> ElectncalConiractor MailAtltlress City Stale2ip Phone <br /> �'7� �' J�, <br /> ��� � � l '����) ���t��� �� � — <br /> Stale License Number Conlrad Price of Work <br /> Proposed Use of�uilding Contact Person (Plan Review) <br /> 1 � � <br /> DescnptionolWorktoBeDone: �� (' Ite � �'i �� ��<i l� CIIQI Ibt_ '{� (�C�-1 U �������rt--.� <br /> ( � .� ' � 1'. � :A) r ���, � �> � �� �� 'j <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> ���. 3� <br /> 1 hereby certdy Ihaf 1 have reaA anA e�ammeA Ihis app6cafion and kno�v fhe same to be Vue and <br /> conecl All provisions ollaws and ordmances goveming lhis lype ol work wdl be conrplefed � DOv <br /> whelher spec�6ed hercin or nof The gran6ng o/a permd does not presume!o give aufhonty fo <br /> violafe or cancel the prov�sions o/any olher slafe or local law regulalirlg consVuction cr Ihe � J� 7 <br /> pedormance ol coostruction. That 1 am authorized by fhe o�vne�o/fhis propeAy fo perform the / <br /> work)or whicb applrcalion Is made and I comply witb Ihe Slafe Confracrors Law 18.27 RCW and <br /> zse 20o wAc. <br /> ; <br /> � � <br /> � r � , - <br /> � �� ( �I I ���� ! l l�_ � - � � 1 � <br /> I � :� Si nat�re , � Date <br /> I <br /> �_ . .__ _. _ ._— ___—— _ -- <br />