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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.everettwa.org �d g� Z '-�S� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � '� ��� <br /> J�D ��-1 S-'� C r 1 s r � O <br /> PROJECT ADDRESS C rt�L i{�'—� 7U ^C� (q � <br /> �� � �.�,N�! �q � � ��„�. � �i f���<< i n1 �l q B.Zo 1-3TTT <br /> Owner MalL�ddress Clry State/Zlp Phone <br /> ���j _ <br /> Tenant Mail Address Ciry StateQip Phone <br /> / l�./ � <br /> E eclrlcal Contrdctor �Aall Address City Slate2lp Phone <br /> � N� N � <br /> Slale Lico se Number Contracl Price of Work <br /> ,�/���J l 'r c� <br /> Proposed Use oi Bui1{�jp Contacl Porson (PIAn Review) <br /> Descriplion ol Work to Do Dune:�V �e' `� "" G �� /' "C—"— �� ��� <br /> l,U � L L. ►� � �av��c.�--` <br /> —L�=� f�- c �, fi��� s;n,��saat��—'��D <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVc'RETT LOCAL SALES TAX CODE IS 3105 �GI 2 _ �� <br /> 1 hereby cerlily fhof I Iwve ronA nnA exeminvd fhis applicnfion end know fhe same ro be Iruo end <br /> a <br /> correcL All provisions ollaws end orAinances goveming fhis lype o!work w111 be complofed <br /> whofher speafreA herein or noL The grenting o/a parmd does nof resume fo glve aufh�nry fo <br /> violafe o�cencel Ihe provislons ol any ofher sfate or locnl lew reguPfing consfrucfion or fhe <br /> perfomiance o/consf�uction. That I em aufhoiized by fho owner o/fhis property fa pedorm fhe <br /> work!or wbichPpplicnficn!s n e onA i comply wlth fhe Sfafe Confrac(ors Lew 18 27 RCW enA <br /> zss s o�wao. . � ��; <br /> , <br /> � <br /> i 1 ,/, / <br /> / � � <br /> �-��%~' ��J�,�c- c;� �.t � � _ a� <br /> ���a�uro oate <br /> /-' 1 <br /> � f <br />