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ELECTRICAL PERMIT APPLIC�►TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIGNS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 'FC�� J>�� �Ccz A�!� _ � c- ��rt, wA ;�,�F, I <br /> PROJECT ADDRESS <br /> i <br /> C���e�-�1��� TA��II� I�l. �"� llll ���/Ic� _-S�far.�� <br /> OWGer � Mail Addross City S4^'^�Zip Phane <br /> �.. � <br /> _ — / i_' �. , / �� I <br /> 1/ ..� , / , <br /> r <br /> Tenanl Mail.4ddress City Slate/Zip Phone <br /> f_ler.irical Coniractor Ma��Adnresu City Stale/Zip Phune <br /> Stalo License Number ` ConUacl Price of Work <br /> �-I-�►�)F I��'l��t�� �`c, __ — <br /> ProposcA Uso of Buildin� Contact Pereon (Plan Reviow) <br /> — ' c��-�S— �.� ��� i�� � �o� l��u� <br /> Descriplion o(Work to Do Uonu: ���(�,�_ ��L.EI_�._��� <br /> -r� ��ti ��-�2ri��� Aa�� �i��(�E ��i��ira�i�"7 ���2� ��� . . <br /> -.�'`._L_}�111� ����11�� � lt Il � � i.�� IG2� � Tl l.� �I,I�N��2s'1-{��) <br /> NOTE: W IRING IN NON-DW[LLINGS IS R[�UIRED TO FEE <br /> f3E IN RACEWA'fS, MC OR AC CABLF <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hureby carhly fhnt I h�ve read 2nA ex.vmined this applicntion iind know fhe samo�n be L�uo and <br /> r.onecL All piqvisions olle�vs and ordinanr.os govornuig this fype o!woik will Go complefed <br /> �ti�hefher specilmd hc�ein or noL The�rantinc�ol a pernnf does nof �resumo fo give aufhonfy fo <br /> violnfe or cancel Uie provisions o/any other state or IocUl law regulafing conshucGon cr fho <br /> performance o�cor.sfrucfion. Thaf I am aufhorized by fhe o�sne�o/fhis proper.�to�odorm Ihe <br /> wo�k lor which application;s medo and 1 compty with tho Sfafe Cont�actnrs Lew 18,27 RCW and <br /> 29G 200 WAC. <br /> � 1 <br /> �' <br /> � <br /> — �--y-��;,��?�;��.,> 1 -�3J_l� � _C,, <br /> :;�-,��,�n��A � ' <br /> � �, � I <br /> L <br />