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ELEGTRICAL PERMIT APPLICATiON <br /> CITY OF EVEF:ETT PERMIT SERVICES <br /> 32U0 CEDAR STREET, EVERETT, WA 98201 a .,al --b� <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org o 2 � a3 <br /> ��p7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> "� �-)4'IlV � V L � �� 1�� � ���� Z�l_l <br /> ?a��?�1 r��,r�� �Y�t�l1 '��� � � �� �� �� ���t <br /> PROJECT ADDRESS <br /> Owner A7ail Address Ciry Slale/Zip Phone <br /> ^� � �� � -c��crr ' � <br /> �} �2�4 ��5 �c�9"I C� <br /> ��,;�..��`�. � 333\ �mc0u.'b.-�V�. ��l` l� <br /> Tenanl ��'�`.���- MailAddrcss —� City State2lp Phone <br /> ��fl,�r�� �cL� G�30 �5�Y���r N� ���1c�� ��� `��0 5 Z �zs � � <br /> � -�_� `�� z� <br /> Eleclrical Conlraclor Mail Address City State2ip Phonc <br /> �u��;��-�\\ '�(��C� �-�`'� <br /> State License Number Conlrecl Price of Work <br /> Proposed Use of 6uilding Contact Person (Plan Review) <br /> Description o(Work to Bo Done: ,� U I Y I U �L�' 1�1� ' ��'l/ 1�L� l� — <br /> NOTE: WIRING (N NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RAC[WAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX COD[IS 3105 <br /> I bereby ceriily that 1 have read and examined fhis application and know the same to be frue and �p lb '–"�` ^ <br /> correct All prowsiau olla�vs and oidinances govenung this type ot wo�k will be completed <br /> irhether specilied herein or noL 7he granting of a permit does nof resume to give aidhonty to <br /> �iolafe or cancel fhe provisions ol mry ofherstate orlocal law reguPting construc0on or fhe <br /> perfomrance o/const�ucfion. Thaf I arn aufhonzed,by the owner o(this property fo pertonn the <br /> woik(or which applicafion is made and 1 comply wifh fhe Sfafe Contractors Law 1827 RC W and <br /> 296.200 WAC. <br /> _._ Signalwe ---------�--- u:ile <br />