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' ` � <br /> : <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org ]—�-'�7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C—D ?D �"�b� <br /> �.�q' RuLk,�r /4- u E-% <br /> PROJECT ADDRESS <br /> �vasf ��«� �sh,le .z.91.�/ t4v�ker « : �✓rr 1t ✓�1 q�.<.oi N25-3j'I 36� <br /> Owno� MailAddress City S1ale21p Phone <br /> ���+nc1" �r�� L' S /z��� �.AL� fQUc �trr /�i • �/ I.ilr !8 i�! �(2ti' 33? 9E YQ <br /> Tenaal Mail Addrass City Slate2ip Phone <br /> �r%Mo .IVPn. S 'Qn S�uS��r�Mt 7�(�� �trr���tn„ �( - rlr � �V0. �( 9:2.C)3 �/<S �7(-S'Y�35 <br /> EleCtrlc I� Mall Addross City State2ip Phone <br /> 1�i_rPy vr�, g�3 15 O"-' <br /> Stato L ense Num er Contract Price of Work <br /> a.e-n� l=tii� �r S:erv���P�• K� M HL��1t <br /> Proposed Uso ol Ouilding Contact Porson (Plan Roview) <br /> Descriplian ol Work to Bo Done: Gc�� iqnr.� Pc����r I �� ,i�i� R t 'r'! �Tl E U� <br /> �!-vt'��U �1 v <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby certily ihat 1 have reud and examined thls appBcation and know the same fo be true and <br /> correcf. A/l provisions of laws and ordinancos goveming thls}ype ol work wilf be completed <br /> whether specifiad herorn or noL The grantlng of a peimd does nof presume to give authonty fo <br /> violate or cancel the provisions oI any other stafe or local la�v reguleting constructlo�or tho � <br /> perlormanco o/cons(ruction. That 1 am authonzed by the owner ol this property to pedortn fhe ' <br /> work lor which applicafion is made and I comply wrfh(he Stafe Contrac(ors Law 18.27 RC W and � � <br /> 296.200 W,AC. � � <br /> � <br /> �� �"' ��� `. � <br /> ure D te — <br /> J <br />