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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 `�—'��—� <br /> 425-257-6810 - FAX 425-257-8857 —www.everettwa.org F b�g_/�,Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3003 ��'� Cnsiao �oA� ���Q�TT , V�A � 820 3 <br /> PROJECT ADDRESS <br /> T�4e go� na�, Co �o :oX 37n� S��c-r� 1/�A q8��' _ <br /> Owner nt,�i nedress cnY SlatdLp 4 ZS Q`,� �L�4 <br /> Tenant M^�i�ddicss Ctly StalclJip Phonc <br /> 4ys <br /> S�c��oYqH �+.w Iz3i� �3�4�''� C.a.c F.l� �►.�oN,D U�A gt4_ `o b <br /> Elecincal Coniractor Mni�nddress Gry S �c�Zip Phone <br /> �SoSL <br /> ��c�uo ���'1 'I S� � I'1 � oc�a. °-' <br /> Stale License Number Contract Pnce ol ork <br /> ���_,av� -3 �1 <br /> �o� 5 �3 <br /> Proposed Use of Duddmg 3 U Contact Person (Plan Review) <br /> Descrip�ion of Work to Oe Done ` a�1��' �d�`�t'� T ,"'���T�G �¢' �5�— <br /> ri�Z�1Nl �i1�Fi`'f$R-S <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE v <br /> 8[ IN RACEWAYS, MC OR AC CA�LE �'—T� % <br /> �'' 7 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br /> 1 he�oby certdy fhat I havo io:+d and exnnuneAflus apphca6on and knotv tho sarne fo be f�ue anA <br /> rorrect All provisions ollaws�nd orAmancos governrng fhis typo o��vo�k wdl br, complefed <br /> �vhofhor spoal�eA herom or net. Tho 9rantmy of a porrnd does nol p�esunte to grvo authonfy fo <br /> v�olofo or cancel fho provisions o!any ofhe�sfatn, o�local lau�regula6n,0 conshuchon or fhe <br /> pr,�fonnanco ol consUuc(wn That I nm auflronzcAGy Ihc awno�o/fhis proparty fo perlornt thc <br /> I5'OIX I01 WIIICII il�J(7Ilf,ilI10/1 IS/ll:l(IL`ind 1 cornply wdh fho S(ate Confractnrs Law 7B 2i RCW and <br /> 296 200 WAC <br /> Siynalu�e Unlc <br /> 0 �� _ � ��-- <br />