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ELECTRICAL PERMIT APPLICATIOIV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �' —a S—O <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org C Og0 ��/� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ���/9 .�Z� <br /> - - �' r�n �- �' � <br /> PROJECT ADDRESS <br /> Ownor A1ail Address Cily Slalo/Zip Phone <br /> Tenant Mail Address Cily StaleiZip f'honn <br /> .����5 ,��� �1127 �b'� '�S'Sr�L��,,�rva� �� `�y� Y <br /> EleClriCal Contraclor Mail Add�ess Cily State/2ip Phone <br /> '1�4��� �=�� vL7 ��/ � `� `�� <br /> S�ale�Iconse Numbcr � Conlrecl Price o(Work <br /> � �.� � �� ��Cf`t"`���- <br /> Proposed Uso ol8uilding Conlacl Porson (Plan Ravlew) <br /> �'�{�r1(�" f. u�',1"� � .�iClCv SCJ/�' �('��.� <br /> Dascri{ n of Work lo�c Dono: <br /> �,� L �� �o�y�� �-�.��/' <br /> tJOTE: W IRING IN IJOIJ-DW[LLINGS IS R[OUIRED TO f-EE <br /> f3E IN RACf_WA1'S, MC OR AC CABLE <br /> CITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 ��,�19C.� _//� <br /> �/ZY <br /> 1 hernby ccrtily fh�t I fie��e ror�A nnA ernniincA tfus applicnfron end Mno�v fho sarne fo h�fruo and <br /> co�recf. All pronsions ollaws end ordinances gorernin,q fhis fype ol worX will be complefed <br /> whcthor specilieAlrerain o�not. Tho grnnling o!n porrnif does nof �iecume fo c�ire aulhonty to <br /> violafe or cancel the Iirovisions o!enp otho�stato o�lucal loH�rtrgulafing consWcfion or fho <br /> peilormanco u/c'onstrucfi i. Thnf I em aufhorized by fhe ownor o/Ihis property fo peAortn tho <br /> wo�k lor�vhich��ppltr.mfiun�s made nnd I cornply wifh fhe Stat�Conf�ncfors Lew 1827 RCW and <br /> 29G200 WAC.�� �I , � ��,, <br /> l�-����J� .. . . <br /> —— —� � <br /> 9pn:it�ne Uate <br />