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_ � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT F'ERMIT SERVICES <br /> 3200 CEDAR STP.cET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED fROM 8 AM TO 4 PM <br /> �� `� � )cr f f� ('` � l�� <br /> PROJECTADDRESS <br /> � r <br /> ��a�s��� �1 �J � �� r� ; ;, � F�-� �� � <br /> OWner Mail Address Clty State/Zip Pnone <br /> Ta�3�t M11ail Address City S�ato/Zip Phone <br /> . <br /> n <br /> ��� r � � � �' •�� ��� �- _'- � _. <br /> EleclriC�71 Conlrec�or A1aJ l�dAress Qty Stale'Zip Phone <br /> Slalc(.ice�nsu Numbcr Conhar.l Pnce ot Wbrk <br /> Proposed Use of Building Conlacl Person (Plan keviewl <br /> `� /� / �/ J/999.// � <br /> Description o(Woik lo �e Dune: V� �"�"� �q�l "� � , 7" �!�[�- /���___ <br /> I�_f J <br /> i��-�J�� — I <br /> NOTE: WIRING 1�� NON-DWELLING:i IS REOUIRED TO FEE <br /> 4E IN RACEWAYS, MC OR AC CABLE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby cortdy thdV 1 hnre road and exnminaJ Ih�s nppqcetion enA knrnv fhe sarne fo ba f�ue enA <br /> cnirrd All pro�-isions olla�vs and adinanr,es govmning fhis fype o/work will be completed <br /> �vhefh��r specilied herein or nof. The granfin�ol a pennR Uoes nof/nesume fo r�ive aufhonty fo <br /> violofe or cancel fha provisions ol nnp olhei s(afe n�local law re�u aUnc�wnsfrucfion or the <br /> pe�lorrnance ul cunstruclion. Thaf I am aufhorized by fhe ownm o/this property to perlonn fhe <br /> wo�k Iei which application is made and 1 comnly �vith fhe Sfate Cont�ac(ors Lmv 1A.27 RCW end <br /> 29G.200 WAC. � . � <br /> , ,��/� ;'� i <br /> / L/ � <br /> ' /l 7�•A,.. ��� ,� r�-'�lGrit � ��� - � <br /> —'��Signa�ure � ' 08I0 <br /> .• <br /> . <br /> ! ( �.' " Ji <br />