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EL(ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVlCES <br /> 3200 CEDAR STREET, EVCRETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-885'1 —www.everettwa.ory <br /> APPLICATIONS ARE ACCEPTED 1=ROM 8 AM TO 4 PM <br /> > � / /� <br /> -. , � _� � L�'��L`��� /CL�C� <br /> PROJECT ADDRESS <br /> r�,a�. <br /> �' '' i �' (;,,'' ' rL' ,�� /�i �:�,'. ' :.- <br /> � �� � �---���--�� �--'-'—�`f-- ��<�,� ��� <br /> OWnOf Ltail AUdresn City Sla�elLp Phone <br /> C�li/Nt' 1 <br /> __--__.____'—_—_—_ ______—___."_—"__'_--__—_'_ _ <br /> lPnnnl f.laillWJross GI� SLdr,�Lp Phonc <br /> �{�i � <br /> �'/"� L ' �� ('�L�)n��ff�'� �lTGtfLY"�1 /�" �'��� .fd 7/yS�y / <br /> 11 st <br /> Eleclrical Con�raClof Idail AdJress Ci�y Slale2ip Phone <br /> �)' ! �J. , / n � ,% /��' �,'•C'C'' ` --.. <br /> i� <br /> Slalo Licr.nse Number ConUact Pric�oI Wor6. <br /> - �� — <br /> �' l �. d �. <br /> t <br /> P:oposed Usc el Buildinp Centact Pcison �Plan Rovio�N� <br /> � / i � <br /> i <br /> Doscrip�ion of Work l0 6�i Uune .— --.._�����'---11�.�t�—��.�11ctL;. S�'� ✓i/r ��1�7C' ,�� . <br /> �---- <br /> NOTF WIRING IN NON-0WGLLRJGS IS R[QUIRFD TO i FFt <br /> [3E IN RACEVJAI'S, t�1C OR AC CADLE. <br /> L�_ <br /> CITY OF F.VERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 herohy�'eiLly fhat 1 have mad and eruminrd this npp6cnh��n end knou�fho same(o be truo nnA <br /> conecf. All proeisions ol lans and oidinancos goroming fhis fype o/H•ork will bo comp(of�d <br /> �shefher specilfed horcin o� r;�f Thu pranting o(n perrn;f dous nof'��osumo to gira authonfy fo <br /> violate or cancel tlie`novisrons o/any ofhei stafe or Iecal Inw re�u ating wnstrurfion w Iho <br /> ��eilonnance ol cnnstiucfiori. �hat 1 om aufhorizeAby the owner of fhis property G�perfuim fhe <br /> �sork!or n�hich applicafiun(s mad��and 1 comply with(he Sfnfe Confrectors Lew 1+).27 RCW and <br /> 2.4G200 WAC. <br /> � � � / <br /> . r v � � lfi 1 i > <br /> ' . , i f � ...c. �' 'v <br /> �Si�ud�.n.—_ __ �� —� Date �� i�/ _ L/L�� <br /> / L' <br />