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ELECTRICAL PERi�IIT APPLICATION <br /> CiTY OF EVERETT PERMI� 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 /> 1 - l'�� J' ��"�____�f � � r� -� <br /> ���� /il/� �'i � <br /> PROJECT ADDRESS <br /> L�/i�� ll%i!�/// l i" /i��� l� _ <br /> Owner Mail Address Ci�y SWIel2ip Phone <br /> Te N Mail Address Clly Slate/Lp Phone <br /> � � � <br /> �' �'l %" � ��� %��� i��l�' �l. ��r�,//1��"'�� <br /> Eleclrir.al Conlraclor �ail Address Cily Slale/Zip� Phone ,_ <br /> � ��j?�� `/'':"' `: <br /> �� �l�'��� �. //�� � � t�����j, r��� �_�� �' <br /> � " ( Conlract Price of Work <br /> S�te'Licenso Number <br /> Proposed Us�ol Buildin9 Conlact Perron (Plan Review) <br /> / �� T f/ y�7 � <br /> Descriplion of Work to �c Don�: ����{�/ ��/6�l f ' r/ �%��� <br /> �✓r/_' — �/�.,'L_l/i��l�` ! .. ,�/��(�'� i�CY� �/ � — <br /> � � <br /> NOi E W IRIIJG IN PJON-Db'VELUNGS IS REOUIRED TO FEE <br /> f3E IN RACEWAYS, MC OR AC CABLE. <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 he�rby ceriily fhe�t 1 have ranA end exornmed fhis applionf%on ond know Ihe serne to be tnm ond <br /> correct �ll provisions o!laws and nicimancas goveming Ilris Iype ol work will b�c�mplvfed <br /> u�hcfher specilieAherein or noL The�ranfing o!a pernuf Aoes nof presumo(o yiv?aulhonty fo <br /> v�olafe or r,encel Ihe provisions ol eny othei stafe or local law�egulating construction or the <br /> prrfomiance ol construcfion. Thnf 1 arn authoiized by fhe o�+nor o!this property fo perfenn fhe <br /> �rurk lor�shich apphcation is rneAe and 1 com�ly�vifh the StatE Contracfors Law f 8.27 RCW nnd <br /> 29G.100 WAC. � � <br /> / 4�/, / �'� -' �� '' / .<? i' � � <br /> ' . .i n:ll 0� ' Dete '/ <br /> . � <br /> Fo7oZ -0�3 <br />