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�-- <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERI�TT PERI191T SERVICES <br />3200 CEDAR STREET, EVERF:TT, WA 98201 <br />425-257-8P 10 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE A�CEPTED FROM 8 AM TO 4 PM <br />����C/ J^ � <br />/%��/�F( ` �' . <br />PROJECT ADDRESS <br />� {� (� �l%� I �b ��-i �'� <br />OWnCf <br />Tenant <br />��zfs� <br />EleGrical C�n«actor <br />Mail AAUress <br />L,��r� <br />Pdail NAdress <br />�z� ���`' H <br />6fail Addmss <br />Gly <br />Cily <br />Slale/Zip <br />SW�NZip <br />Phune <br />Phone <br />L��ll�fG Gi,tlUrS �� �7�3� <br />�,��titS��-� � � �� ��l <br />Stale License Number 1 <br />r' t f � ` "�' ' � <br />� �f',l;'�� �I��� ��-+�f.%'.�� �.�� <br />ProposeA Use cl Building <br />Cily Statc/Zip Phone <br />/,�7y���' -- <br />Conlract Price o( Work <br />Contacl Pcrson (Plan Review) <br />De�ription ol Wock to Be Done: �, �� ��� �,/� �¢�� `/�"� ��iC� <br />%` �",.� LCr1�� l�kC� ��% � F1��%`� ��ti���C� <br />Uic;� �c>��-l��- _ <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEVJAYS, MC OR AC CABLE. <br />CITY OF EVERETT L4CAL SALES TAX CODE IS 3105 <br />FEE <br />1 hereby rerid}� fh.�f 1 have �cad �tnd exa•nincA fhis .tpphcofion and kne�r fhe same to be tiue and � u��C� l.: -OG' � <br />com�cf �lll provisions o! la�vs �u�d ordin, nces r�oveming Ihis type ol uork u�tll be cornpleted <br />whelhc� specihed herNiti or not. The gianfing ol a pennR does nof presume fo gfve authority fo <br />vioiate or rancel fhe ao`�isiur�9 u/any ofher sfafe or local la�v regulating consfruction o� fhe <br />perlonnarlco�l cons �u 1prrF,�hnt I arn aufho�ized by Uie owner ol this p�operty (o perforrn the <br />�vork l�i-ivhi�h pppli ��o�l i� pi�c(e and 1 curnply �rifh the S;afe Contractois Law 18.27 RCW and <br />�..__ � <br />Siqndlun• <br />U�'- F� � - C�� <br />