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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.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � o'� � ( <� ��1,� F .i •:it � <br /> PROJEC ADDRESS <br /> OWnaf( \�_�/' , ,) � .�, hlall Addross Clly SlalolZlp Phone <br /> l <br /> �`'1�61�, �ti,Pc� � .,�� L ( �i5�7� o I'Z �' LVF r�.d1- u,�,f ��•�--� � <br /> TenaM Mail Addrass Cily Slalo/Zip Phono <br /> � <br /> W ln. � �� �� S'� '�)( � �� O 7 (-�V�'Y 5 1� ��yl1l.� µ�.,..�1 l�',� ��A� � . <br /> Elecidcal Contraclof Mail Address Cily Slate2ip Phone <br /> ��: I I I -T�: i� ��.. � 1 ) (1 �� � �C�U c' <br /> Slale Liconso Numbci Contract Price o1 Work <br /> IZ�L�Y <br /> Proposed Usc+af Bulldinp Contact Parson (Plan Raviow) <br /> Descriplion ol Work to Do Dono: l c'�)h,. , �� � '� i.+�7 r '��, �' 7` �{ �"� 7 -IJ �� <br /> NOTE: WIRING IN NON-DW[LLINGS IS RE�UIRED TO fEE <br /> DE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SAIES TAX CODE IS 3105 `�/ � <br /> I heioby ceriily fh��t I havr renJ nnAexemined fliis npplicafion nnd know Iho semo lo bo Vuo nnA �� Z U� �� <br /> coned. All provisrons o�la�rs nnd o��finances�overnmg fhis fype o(work will bo complefed <br /> whefher specilied homin or nol. The c�ranfing ol a pernnf does not prosumo ta c�ive nulhnnty to <br /> violate or cancel Iho Ivovisions ol any ofher sfafo a lucal Inw re�ulafing construcfion or fhe <br /> peifom�ance o!censfiuction. Thnf I em aufho�ized b}�tho owner o�this property fo perfomi fho <br /> �roik lor K�hich applicnfion is mado nnd 1 comply�rifh fho Stafo Confrncfors Law 18.27 RCVI anA <br /> 29fi 200 WAC. <br /> I � ' '' �1 ����"� �3 � , 1_ / , � <br /> � <br /> � <br /> _—___ Siyna�wc Dal9 <br />