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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 7'��/ �/O <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM CIOD �/—O� <br />PROJECT ADDRESS <br />-.- - <br />��—F !-��t.�,;'r,.� �r�u i � tticr s� L=ve:� (T �.�r.ci,� `t �w�62 <br />OWncr nlail Address Clly Slale;Zlp Phone <br />Tenant <br />CoMracbr <br />f: �C� T,S I Y/`�J.�''� <br />State Lic�nse Number <br />Usc ol F3uilding <br />A1ail Addross <br />Mail Address <br />Cily <br />City <br />Stato2lp <br />'�25'Yi 3 �rcrrri <br />SlalelZip <br />(1�?� �.> n <br />f• <br />Con�ract Price of Work <br />Contact Person (Plan Ravievq <br />Phone <br />�.ly j 3 `^v <br />rno„P <br />DoscriptinnolWurklol3eDuno. �,:�:f.._i_i�L�—�^'� � ��r l�i-;��c.'I./.,.�.�� ji�� (�«lS,r-/�, <br />�_�_ <br />-�—�r� `�� i'hY�C( �Ji�.tP ^�' !�"u�l.t� 2hn/i+.�,n L.�. T� �(Sl! HlnlJ <br />NOTL WIf21NG IN NOIJ-DW[LLINGS IS R[OUIRFD TO FE[ <br />0[ IN RACEWAYS, MC OR AC CAE3LE, <br />C11'Y OF EVERETT LOCAL SALES TAX CODE IS �105 <br />1 hereby rcrtilp fhaf 1 havc rend nnAexamined fhis npplicofion nnd 6now fbe snmo fo b� frue end <br />conecl All provisions ollews nnd ordumncns 9ovenung tlus typn o/ H•ork will bo cornplefed <br />whethrr specihcA hixoin or not The c�ranfing ol o ponnR doos nof vesume fo give eufhoni� fc <br />violnfe o� c�ncol fho n�ovisions o( nny ofhe� sfofe or locnl luw regulefing conshucfion or fhe <br />porformm�ce o! cons�rucfion Thnl l mn nutho�izod by fhn o�vnor ol fhrs proporty fo perfomi tho <br />work lu� �vhich npplicntion is rnado and 1 cnrnpl} with fho Sfnfo Contrnctors Lnw /8.27 RCW enA <br />29& 200 INAC. <br />1� ���� <br />,. �� <br />-- . �„ , � _ 1/_,,;r %C- / <br />Siunahuv . -- � �- Uala <br />3 <br />