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ELECTRICAL F`ERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES y_ ��_ �� <br /> 3200 CEDAR STREET, EVERETT, VJA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.evereltwa.org C/�D(���(/L <br /> I <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �'�` 1 � /'�I1�rC1 ��? n e, <br /> PROJECT ADDRESS <br /> �1�;�I �sL/"v',� <br /> Ownor Mai�Address City Slate/Zip Phone <br /> Tenen� Mail Address City Slale/Zlp Phono <br /> ���n�y �It� n�,� P�' f�� �2�v /yJi�n�'vc ��i `��L7L NLS�232- �Q�L�; <br /> Elecirical Coniraclor Mail Address City Slale2ip � Phone <br /> r ^'� <br /> rr ��nc'�C '� h'CJ �-f JC� <br /> Slate Ur,Anso Number Conlra t Prico o(Work <br /> ProposeJ Uso ol Bui�din� Conlacl Person (Plan Revicw) <br /> DescriplionolWoikloOeDon�: ��� rJ,[ L ��VIlyy�C�f�- ! ��L�_--------------- <br /> � <br /> NOTE: WIRING IN NON-DWEI.LINGS IS REQUIRED TO FEE <br /> D� IN RAGF4NA1'S, MC OR AC CADLE. <br /> � <br /> CI7Y OF[VERETT I.00AL SALES TAX CODE IS 3105 <br /> I herehy%u�lity(hnt I havc re�iJ�inJ exnmined fhis dipplicnhun and Anow fho same(o bo frue end <br /> coneef. All provisions ol l;nrs nnd arJlnances gnvortun�fhis type al n�ork �rill be complefed <br /> uhefher specilicd hcr��in o�nof. The��an6nc�ol a pennd doos nuf uesumo fo give nufhonty to <br /> violafe or cancel fhe prorisiuns o/any ofher slafe or bcnl Inw re�u�afing c,nsfrucfiun or fho <br /> perfunnance ol censtiucfion. �hnt 1 am nufho�izeAby th�o�sner o/fhis property fo p��lnrn fhe <br /> �aork Ior which epplica(iun is maAc und I comply wifh fho Stafe Confractors Law 1827 RCW end <br /> 29G200 WAC. � / �� /� <br /> �[ �/ _ /�C)( 1 ' -! � <br /> �r <br /> � � /r 1�r I <br /> � � , � �.,=�— <br /> --_ st�:�����-- � �-- --- u;,�A <br />