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! <br /> S <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREtT, EVERETi, WA 98201 � ` �'3—�� <br /> 425-257-8810 - FAX ;?5-257-8857 —www.everettwa.org �pg07—� I,� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /�G �1,2 a /��`� �fi.i L' J r F, <br /> PROJECT ADDRESS <br /> ., <br /> ���:���;�s/:�/c��•,�,,,,�:� � ��;�lr,-tz.;lC. �/ ��� �i.�'�c"� <br /> Owner Mail Address Cily State/Zip Phone <br /> Tenani Mail Address Ciry Stale/Zip Phone <br /> _// �� � <br /> Eleclrical Conlraclor Mail Address City Stale2ip Phone <br /> ��S L' O ci <br /> Slate License Number Contracl Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description o(Work lo Oe Done: _ �_�!�J��— ��_�'J?� L��C�-� � <br /> NOTE: W IRfNG IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE !� RACEWAYS, MC OR AC CABLE. / <br /> JJ � <br /> CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certi(y that I have read and examined fhis a��plicnlion and know the same to 6o true and <br /> correcL All provisions ollaws arid ordinances govermng fhis type ol wark will be completed <br /> whether spealied herein ornot The granting o/a pennd does not presume fo give authonty fo <br /> violafe or cancel the provisions oI any other state or local law reguleting construction or fhe <br /> perfonnance o/consfrucfion. Thaf 1 am authorized by fhe owner o/this property to pedomi the <br /> tvork lor which applicafion is made and I cornply with the State Confracfors Law 18.27 RCW and <br /> 296.200 I NAC. <br /> �� /.� � <br /> l'I� - � ��1�_ � � .?� � �— �� �� �� � � C% <br /> Signalure Dale `' , C � <br />