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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 7 _�� - �'7 <br /> 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> !� ?ll � ���51I�1O ��,� L,ut:f�L' Z'T� ��l.�Ia I DJ <br /> PROJECT ADORESS <br /> F�1 '\yV� jl� -,_�`""�- �� � / I'������'1l)L � ��_ WT\ �l6��� Z 7-OlD'�`����_`'-1 <br /> OtYnef Afail AdAress Cily SlalelZlp Phone <br /> Tonanl M1tiil Addr�ss City SlatclZip Phonn <br /> .� <br /> �. �.,�.�'����-�4a..� . s ���� � 1`bD�3 � .i;�, ��,;- <br /> r-H f nY ,-r�o,� �, <br /> Glr.ctrical Conlraclar �Aail AdAress Cily Stale/Zip Phonc <br /> �TT ��� I 1`I4 vC. ��D <br /> Slalr Licmise Nunil�cr ConlraG ricc ol Work <br /> /",U1.� \ �Al,A1 . ��_�C�I.�NC� _ ��1i�P\ti�elr.����L..--- <br /> P�opused Use of [3uild.n� Conlacl Person (Plan Revice,) <br /> /� f , I ` � � <br /> flr.scriplion ol Work lo Ne�onc: �t1_�f�lila.�P1XX��11C�/�J1Q.-W[• f�- ��d_Uti�i�- -- <br /> NOTE: WIRING IN NON-DW[LLINGS IS R[QUIR[D TO FEE <br /> DE IN RACEWAYS, h1C OR AC CAOL[. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hea�by certily fhal l have read nnJ r�xnrnined fhis applicnliun�nd 6now fhe sanie fo br hue and <br /> rnner,f All piuwsions of lu�t�s nnd o�dnt�anc.es governing Ihis type ol w�nh wtll ba cornplaf�d <br /> whefher spociGed herem o�nof. The g�c�n6n[�o!��pemut doos nof presurno fo�ive�ufhonty fo <br /> vinlafe or cnncel fhe proNsiuns ol anV other stafe or locel Imv ro[�idafinq conshucfion o�Ihe <br /> perPomianca o/consfrucfion. Thal l;�t»7trtho�izad 6y Ure ownor o/this property to porforrn fhe � <br /> worN lor which applicafio �� rfi01 comply wifh fho Slafe Conhaclors Le�v IB:7 kCL4'and <br /> '96.100WAC. ��i7 / �n .� <br /> � <br /> - � - ---_ _ ---��-/Z-G7 -- �� <br /> SipnaWr ������ <br /> f <br />