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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —�n�✓�v.everett�va.org <br /> APPLICATIONS ARE ACCEPTED �ROM 8 AM TO 4 PM <br /> �c.� t <br /> lG� ��o�lc� ,.✓., <br /> PROJECT ADDRESS <br /> l.l B� [�✓r(� I�' �' ��� Ln41 /f'��.�� ���E q�'�� Cl�(rE(1 �`SI�J y15�—�`J7�p3$�7 <br /> . .�—�—'_— L1w1l�ddtc:r, --_'—' (,ilj '— :ilalc2q� Pi�cn" <br /> ON'llf;f <br /> �Cllfllt�' _—'—'_ I.L:,livi,�i_... ___'_" C;A,;__—_'--'_—:;I,i4.�Zii�_.-- , --r_ <br /> 1� � <br /> �--,+ �✓��( l�� f �tr Kj <br /> Eledrical Cvntraclor Mail Addmss City Slale�Ziv Pi�nne <br /> 31ate License Number CoNracl Price of Work <br /> Proposed Use o(Building Conlact Person (Plan Revicw) <br /> DascriptionoiWorkluBeDone: feF�`]�e b0 5� �t+�ef ��'�1 US[t� Yd� <br /> �.: �t},n ir �� a� 1`� Co ff ( <br /> NOTE: �VIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> Bc IN RACEWAYS, MC OR AC CAf3LE. <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 <br /> 1 hereUy certii}�fhat I have read and examined fhis apqlication and know the same to be Irue anA <br /> correct. /711 piovisions o(Imvs and ordinances governui�j fhis fype of n�orlc n�ill be complefed <br /> whefher specdied herein or not The granfing o(a pennd does not resume to give authonty to <br /> violate or cancel the I�rovisions olany other sfate or Incal!aw reguPating cunst�uctien o,-Ihe <br /> performance or construction. Tbat I am aulhorized by the owrer o/this preperty to pnrfomi Ihe <br /> work lor�vhich applicalion is made and 1 comp/y�rith the Sfafe Contractors Law 10.27 RCW and <br /> 29G.200 IVAC. <br /> � / <br /> `�i��--- Y-r�-� � ,�0,l- /� <br /> Siqn�Wir, D�fe <br /> � �� � <br />