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E'LECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SEP.VICES <br />3200 CEDAR STREET, EVERETf, WA'l8201 <br />425-257-8810 - FAX 425-257-8857 — www.�verettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� <br />��`�l � f�r ;�;�� 1�/1� �— i�. <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />Electrical Contraclor <br />� „ <br />' f lC—� � r (. -�� �`, <br />M11ail Addross <br />Mail Address <br />�1 �%� <br />Mail Address <br />,��%C- � 7--//r"i; �=�cr -- <br />Slate Llcense Number <br />,C ��A`��'(��ldu.i � _ <br />Proposed Usa of Ouilding <br />� <br />City <br />City <br />-c %'7 GLiy <br />Slate/..'p Phone <br />Stale/Zip <br />Phono <br />Clty Slale/Zip � __ Phon <br />UC S 4�& � <br />��Y�� co --- <br />Conlract rico of Work <br />Contad Person (Plan Roviow) <br />DoscripUono�Workto��Dune� �l1 �l�/C-LIC,' �ll���i/� �LL/((�Ul� L1'�`L�? �Gl��� <br />WOTC: :h'IP.ING IN NON-DWELLINGS IS REQUIRED TO <br />8[ IN RACEWAYS, MC UR AC CABLF.. <br />CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br />I heicby cr.�tily fhaf I ha�v road nnd exnmined this applir+�tion tind kno�v fho sarno fo bo truo and <br />corrnct. All provisions of la�vs and ordinnnces no��ernmg fhis typo o! �sork will bo complefeA <br />whefhei specdiod herein or noL Tho pranfing o! a pnnnrt does nof pr�suma fo yive uutlinrity fo <br />violafe or cancel fhe provisions o/any ofher sfate or local Imv re�ulafing consVuchon or Iho <br />perfomiance ol ccnsiru:ficn. 1'haV I t+m nufhoiizeJ by tln3 o�sner o/ fhis property fo podonn tho <br />uoik lor �vhich applicnfion is mado and 1 cornply wifh fhe Stato Conhnctors Low 18.2! RCW anA <br />2JG. Z00 Ih�AG . � -> <br />—�' <br />////L/!/ <br />-r : �..-= <br />���,�������e <br />FEE <br />��� �� " ��-' <br />