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/ <br /> 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 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ►z�s c, cns�,.�� �. o . <br /> PROJECT ADURESS <br /> I-►c��c�C3cAn+�'�Hau�� �2Z �'���'�ut. u,e F��ECE�r (,UA ,`1L�2o5 y2S 3q1��3b0 <br /> OWnCr hlail Address Clly Slate/Zlp Phone <br /> Tenanl A1ail Address Cily Slate2ip Phone <br /> EIBC�flC31 Conifec�or Afail AddreSs City Stalc�2ip Phonn <br /> Slalo Licensr. Numbrr Contmct Price of Wor4. <br /> Proposr,d Use o(BuilAiny Conlact Person (Plan Review) <br /> �asrriplion al Work�n�c Dnne�. _ _�E�"� 1 ��- E � • <br /> NOT[ W IRING IN NON-DW ELLINGS IS REQUIRED TO FEE � <br /> BE W RACEWAYS, MC OR AC CABLE. — � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I he�ebvi cerLh�fhaf 1 h�ve read�nd ex�mineA tbis applicafion and know fhe snme fo Ge hue nnd <br /> conecf�. All piovisions o/la�rs m�d ord�nences,qoveming fhis fype ol work will be comploted <br /> �rheUier spcci(ir.A hr�ein or nol The iaranting ol n pernuf does not resume fo give authorify fo <br /> violate or cancol fhe/�rot�isions ol eny othe�sfefo or local Inw reguPtin,q consf�ucfion or the <br /> perfurmanc�olccnsfrur,bon Thaf I nm aufhorized by fhe o�t�ne�o(lhis pr�peRy fo peAorm Ihe <br /> �sorA lor whi� i npp6rahon is nra e nnAl r.ompty wifh fho State Contrncfors La�+� f0.2i RCW end ;� <br /> 296 200 W : ,� � <br /> n /� � <br /> S� nalure___ _.— Uate � �I \, � <br /> � � I / <br /> � '• <br /> � <br />