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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8B10 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> _ �'7 � 3 C'� r I�� �-�f ���r` Gv,� 9�zo 5 <br /> PROJECT ADDRESS <br /> ���� G �� <br /> ��� I 3 �Of-v I S n.� �ra� Gv�✓,e�- l�,r <br /> OWne� Mall Addross Clty Slale/Zip Phone <br /> S�i ►M� <br /> Tenanl Mall AOdress Cily State/Zip Phone <br /> �i�v�t� S�fcfv��,� 0-� �',�G�tt ���, Gt� 3/Co �'rca�„44f'�9vc� <br /> Eloctrical CoMractor Mail Address Cily SlaleRip ���Ph�on ,,, <br /> f} V(�� E�q2'1 b"7 � o00• A� � y��'z <br /> Slato Licr,nso Numbr.r Coniract Pri o ol Work <br /> �C S I �''�`11G�- � �( �l ���-� <br /> Proposed Uso ot Buildinp Conlact Pmson �Plan Rovlow) <br /> Dascription ol Work to �o Done: �Q_�2L'✓/�/►" `� ►��f�✓�-!J�`-�--{� <br /> NOTL: WIRING IN NON-D\NELLINGS IS REQUIRED TO PEE <br /> �E IN RAC[WAYS, MC OR AC C��LE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I heruhy c�rr(ily fhaf 1 ha����road nnd exnminod fhis npolicn6on m;d know fhe semo fo be true nnA <br /> cormcf. NI pro��isions o!laws nnAorJinnnces qoremin�fhis fypo o/work will bo complefod <br /> tvhethrr spc!cilied herrin or nof. The grenfing ol t�perrnit does nof prosumo fo givo aufhonty fu <br /> violofi�w cancel(he�vi���isions o!nny ofher s6�f�o�locnl law re�uleting consfrucUon or the <br /> peifomiancc o/cci.s iuc(ion rh�if I am eulhorimd Gp fhc o�rnor o!fhis properfy to peilonn fhe <br /> worF lor which�pphcafion is maiJe nnd I cornply nifh the Sfnfe ConGncfors Lnw 1027 RCW end <br /> 29&200 W'61 <br /> �—_ �2 3�v J �� <br /> �-- �, <br /> SiAn�dur Uale ���� I <br /> —� � <br /> \ _ � <br />