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ELECTRICAL PERMIT APPLICATION <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � / � '7 T�r �1� ,� �1 �/�' <br /> PROJECT ADDRESS <br /> , � <br /> ��� ����' �7 J� ,� f( � �7 S ,�✓-� �-� 7f <br /> OWner Mail Address Gity Stale/ZiD Phone <br /> Tenani Mail Address Cny Stale2ip Pi one <br /> �^ .{-� < n <br /> . V') � /—i J �',� ��/�C r_ `i <br /> E�E flC:l��.OI11fi1C�Uf Iv�JI'�1��r�1!: — ----- C'.1�y' '"' Sf.I�C/ZI�1 �--- I'llolle <br /> Sla�n L icensu Numbcr Cnntract Price ol VJ�rtY <br /> Pmposud Use o(Building Conlact Person (Plan Rc��iow) <br /> � p //� ' <br /> DAscription of Work lo�r pon�: ,�v��� �� / 4�l '� �� cz�+tL- /!�__ _ <br /> � , '� � <br /> ,� <br /> L—'-��'—` — — ----- <br /> NOT[ WIRIfJG IN NON-DWLLLINGS IS R[GIIIRED TO FEE <br /> E3E IN RACEWAYS, MC OR AC CAE3LE. <br /> CITY OF FVERETT LOCAL:ALES TAX CODE IS 3105 <br /> I hereby certdy fha,f I have iean and examincrd(his applicn0un.ind M�ow the samo to G�Vuo snA <br /> currect. All piovisrons ollaws and oiAinancrs covernmg this fype o�work will bo complefed <br /> whethe�spcalied herein or noL The 3ranfing n!e pornut does not nesume to give authority fo <br /> violafe or cancel U�e`�rovisions ol nny ofhrr sfrite or locel laH�re�u��tinp construchon or fhe <br /> performancc ol consfrucfion. rha(1 mm�uffrorizeA b�Ihe owner o!fhis property fo perfonn fhe <br /> wo�k/or which npphcafion is rnade and 1 cemply�ritlr fhe Stafe Conf�actors Law f0.27 RCW and <br /> 29G.'l00 WAC. . �� <br /> � . <br /> . <br /> ��t ��,�_� ) ��,��.� � /�' - 2 - G C <br /> —�9ign,dure � � Dale _ _ _ <br /> � <br /> i. . <br /> � <br /> i � � _J <br /> --__ l <br />