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; <br /> ELECTRIC�L PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � y�3_�p <br /> 3200 CEDAR STREET, EVERETi', WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org �J�D �-�01� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � l�,: <br /> 3� �5 1 1�a.� . <br /> PROJECT ADDRESS <br /> < . � �� <br /> �-, y �.c� r ���� 1 �� i i �r� > > � r•.�,� r �i „i ) � .� � � �. <br /> Owner Mai�Address City Slale2lp Phone <br /> Tenanl tdail Address Cily Slale2lp Phone <br /> _`I�. . r � � 1 Ll\ .� O �C'in .l •-� � � � �(7h � J�'i�� � i lI �—({E'.�:. �„J1.. I�j ���%_ <br /> [lecfrical ConlraClor Mail Address City Stale2ip Phone <br /> �c*c, 'ij , _ 3iz << <br /> ���" �. )C nl (,- � �l S�A 1_ � I V i///C,'/� z a�, � <br /> Slale License Number Contracl Prico of Work <br /> ��..n-,,.. , � _ 1�. . �\ _ .A �11r; •. 1 lnd li � . <br /> Proposed Uso of Building Conlacl Person (Plan Review� <br /> DescriplionofWorkloBoDono: �•� . l .,A. A� '� � .. .� ��. � � , � , ���-�. ` �. - � `<<,� '- - <br /> — � <br /> IJOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEW,4YS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby ceriily fhaf 1 have read and examined Ihis applicafi�n and know fhe sam� to be truo and <br /> conecf. All provisions ollaws and ordinances goveming this type ot work�+�ill bo compfeted <br /> �rhefhr.r specified herein or noL The granfing o/a pernut does no(presume fo gi�•e authonty to <br /> violato or cancel fl�e pmvisions ol any other slate or local Ia�v reguleting construchun or fhe <br /> perfonnance o/cons(ruction. i hat i am authorized by the o�rner o/fhis properiy to pedomi Iho , �� <br /> work for which applicafion is made and 1 compty�vifh Ihe Stato Confractors Law 18.27 RC W and _ I� <br /> 29G.2G0 WAC. � <br /> � <br /> /% i"� / �� ,l <br /> � " /� //� ' /�'��' 3 � / C? <br /> . .s�,un:;�uN � .. oa�e <br />