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ELECTRICAL PERMIT APPLlCATION <br /> CITY OF EVERETT PERMIT SERVICES �� _�3 _ <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �' / <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org C(Jg/O—O�y <br /> � <br /> APPLICATIONS ARE ACCEPTED FR'�M 8 AM TO 4 PM <br /> %�' ( C� `�n^�i 11 '�' �' <br /> PROJECT ADDRESS <br /> � ��• L . � M � [.� <br /> ���� 1�� �[ ���� � C�� JL �.� .) �11�1 �j C�Gll,i-�� �.1� 1� �-U1 <br /> Owner Mail Address Ciry State!Zip Phone <br /> ���� L l.0 �y�2-0J,�:.� ��n^-a- <br /> Ten3nl Mail AdJress Cily Stale/Zip Phone <br /> I � LTIl.�� �.L��.�:Lx. ` �.��_IJ'�p���� ✓� �l_4iJ F�pt�; i12��1 /�t11\�)I,IPJ \�ln i.�d17�� ��..�.1 �G"Il� <br /> [leclrica�Conlraclor M1taii nddiess City SlotelZip Phone <br /> U�"��,� �:�, �1�� N; •� 'I ,��� <br /> Slale License Number Coniract Price of Work <br /> . 1I'r��� ��"��/�J,��S� ' <br /> l l'.t�n,.c�c ,,�t_ I��c�'tS.•[�"> 4Zti �leo (tiS1 <br /> Proposed Use of Buildiny Conlact Pcrson (Plan Review) <br /> Descriplion al Work to 6e Done: ��`� ��`( ��•��� ��YY`+� 'v��) �Uu4 .3� Sd���' �`"` L ll..i�r� <br /> �1 �� .=; � , ,. , '"� / a-ss <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> dE IN RACEWAI'S, t�4C OR AC CABLE. <br /> ' CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> r ��U —�i��l� <br /> I he�eb}-ceriily(hat 1 have read rmd examined(his application anJ know the same to be 6ve and �� <br /> corrocl. All provisions olla�vs and ordinances govertung fhis type o/work will6e complefed <br /> �rhether speciGed berein or noL The c�rantin�o!a pernuf doi�s nof vesurne to give authont��fa <br /> �•iolafe e�cancel the 1n�o��isiens oI any otl�er slafe or local law rEguleting consfrucfion or the <br /> pe�forrnance o/construcfion. Tha(1 am aufhorized by(he o��ner o/Ihis preperty(o perfonn fhe <br /> �roik!or n�hich applicafion is rnode and I campl}-with tho State Coniractors Loiv 18,27 RCW anA <br /> 296.�00 11�AC. <br /> � �'l- � ��1 � 3(.5 <br /> SignaWre Uate <br />