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ELECTRICAL PERMIT APPLICATION <br /> GITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 '� --��{ `'O 6 <br /> 425-257-8810 - FAX 425-257-8857 -www.everattwa.org <br /> �06 �� -0� <br /> APPLICATIONS ARE.1CCEPTED FROM 8 AM TO 4 PM <br /> p�C>�t �-.. C' /� `, I�VC (��;, <br /> PROJECT ADDRESS <br /> >��-��?.C/-��b1 <br /> 7f ��' ;j6� �� ��l��f: •'� .C'! C� l . L`(`S//�[�I �i(• �/�G7L[//���ff' !V•�U'] <br /> Owuer Mall Address City Slale/Zip Phone <br /> T�nant Mad Addrass Cily Stale2lp Phone <br /> L�.�.C'� i _'� �/1� �—f�� C'JJL,(�' _ —� <br /> Eleclricai Contrar.lor Mall AAdress Cily i-� Stale/Zip Phone <br /> � -� b ,, <br /> � . I <br /> i{.'ri�Z �'ti - - � r�Lr� OC� <br /> �_ ..�"." 't_, � (Z L <br /> Stato Licenso NumLer CoNract Price ol Work <br /> , <br /> l� l�',_ - � <br /> Proposed Uso uf Building Contacl Person (Plan Review) <br /> Descriplion of Work�o De Done: r/ y/=L- �Yk�� ���ri.�l ____ <br /> NOT[: WIRING IN NOPJ-DWELLINGS IS RE�UIRED TO FEE <br /> OE IN RACEWAYS, MC OR AC CABLE. <br /> �/�> >�, <br /> CITY OF EVERETT LOCAL SALES TAl(CODE IS 3105 <br /> I hmchy r.erLly fhat I Lavn iead and examined this npplicafion nnd knon�Ihe st�me fo be truc nnd <br /> r,oirecf. All prurisions o!laws and nrAinences e�overninp fhis type ol worh will be cornplefed <br /> H�hefher spr.cilicd herein or nnf. �ho�7ranting ol e pnrrnd does nat �resumo to yive autl�ority lo <br /> WOIB�C OI f,811CCI IIIC/)fOV151005 O�PO}�OIIICf S�f1IB OI IOCOI IfiN'fCj]lllafing consfruefion or fhe <br /> pedormance o/consfrucfian. Thaf 1 orn a�dhorizeA by Ihe owner ol(his property fo perfonn(he <br /> work lo�which applicnfion is rnnde and 1 comply wifh the Sfnfe Con6acters Lew 78.27 RCLh'end <br /> 2962Q0 WAC. <br /> 1 <br /> i � <br /> ,4��[_�����[���! � � a% !��/�/ -�G('�� <br /> Sipr�g(urg Data <br /> �� <br /> �'�G l� � G'��� <br />