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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 />Ai'PLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM11 <br />� <br />,.�'�� ��' ) l�j< <�t��-aF���l;' r- �� �. <br />PROJECT ADDRESS <br />�� . � J! _t <br />r- <br />Owner A1ail Add�ess <br />Tenanl Mail Address <br />r1�,. �<<., �, �=1��'F�« ��1_� ��� l� <br />Qly <br />City <br />r�_, <br />Eledrical Conlrac�or Ma�l Addres= <br />- �?l� C i.. �'_ � ���� ��� -� � • ,i � �� <br />State Licen,e Number i�� <br />�� <br />)/ k� <br />Proposed Use ol E3uilding <br />Slale�Zip Phone <br />SlatelZip Phonc <br />�l��7 5�) <br />C���<�_�c ��3c; (r� <br />SIatNZip Phone <br />Contrar,l Pricc of Wor�. <br />Con�act Pnrson (Plan Review) <br />t1 ( r �. <br />Descriptiun o( Work �o Be Dune: � � .. c i� � `--" � � f "�. -Y � � �`, L-` �� )���1! C`�� <br />e <br />NUTE IVIRMG ItJ NOIJ-0W[LLINGS IS REQUIRED l O <br />B[ W RAi;EWAYS, A1C OR AC CABLE. <br />CITY OF FVERETT LOCAL SALES TAX CODE IS 3105 <br />! hrrehy cerldy fhnt 1 have read anJ ax.tmined fhis applica6on nnd Anou� fhe sarne to be true and <br />conecf. All provisions ollaws anAorAmances c�oveming this type o! wrnF wi4 he cnniplefecl <br />n�hefher specil�ed herein o� not The grantinr� ol a perrmt dnes not presume to give nufho�rty lo <br />violate or cancel O�e rvovisions o/ any ofha� sfate o� local law regulafing consfmctiui o� the <br />po�fonnance ol consfrucGon. Thaf I nm eulhorized by fhr� owner oI fhis propdrly fu perfurm fhe <br />vio�k lor which applicafion is maAe and 1 comply wrth fhe Star: Confracfors Law 18.27 RCW ar�7 <br />796.200 WAC. <br />i : � �i' '.��C � <br />'�� �_. _.tian,;d�r,:- ,. <br />� � �' j <br />FEE � <br />—� <br />�u5i1 -uU� <br />