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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 7"� � `�X <br /> 425-257-8870 - FAX 425-257-8857 - www.everettwa.org � pgD7-�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3003 � c�s,N� R� <br /> F'ROJECT ADDRESS <br /> Owner tdad Addiess Cdy --- Slate.�Zip Phone <br /> Ten�nl hlail Address Ci�y SlatelZip Phone <br /> �{4M r�t P� {-�K 7q�1 1�1�tv '��t W�- �8L70 �36�� �SS-OSO( <br /> E�ec�rical Con�raclor Mail Address City Slate�Zip Phone <br /> 96so °- <br /> � S�ate License Number CnNrac� rice o(Work <br /> ���� � � <br /> �✓' ��.� � /`d.f'� -4-1 � <br /> Proposed Use ol Buildiny Con�act Person (Plan Review) <br /> Descriplion o(Work l0 8�Done: �5�� I S�� �"'�'' � "� -/`�-u� f �� '�e`''� ��t� <br /> �Ia�c CI) h...�l�, ti `/s'-Zi3 �,P�a« �) h.e..vlvS � v 46--z.�ls Q ys-z�r7 <br /> ��4�� � ) h—�- _'N Na- 3o� <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS. MC OR AC CABLE. ��, / �� <br /> l� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hcreby cerirly Ihaf 1 h��ve read and exarnlncA fhis npplicahon and know fhe same fo be huo and E (�>�����_v� I <br /> cnner,t All prowsions of laws anA ordinanr.es�avemmg fhis typo oI wark will be complefed <br /> whefhe� spr,ciOeAherein or noL The�ranfmg ol a pernuf does not prr.sume to give airthonty lo <br /> v�olafo o�cancel fbe!novisions ol eny other sfaf�or locellaw regulafing consfvction or Uie <br /> pe�lonnance ol consfruction Thnt 1 am aufhorized by fhe owner o/fhis property fo perfonn fhe <br /> worh !or which t+pplica6on is rnade and 1 comply u�ifh fhe State Confracfors Law 18.27 RCW enA <br /> 29fi 700 1�1C. , <br /> �� � / /U� <br /> �L_�L_�. L�v�'_--__- _._- _"-_— r r "" —___— <br /> — ,�����,,���. � <br />