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253-981-9996 LIne1 07�.54:51 09-76-201! 3/6 <br /> � ! <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8610 - FAX 425-257-8857-wwov.everettwa.org �/ �a6 "�2 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C I 3�`� `�`� I <br /> ('�.� �E$3 ?�n � l�a - �-�-'�a tzo� <br /> PROJECT ADDRESS („�ac� <br /> J " <br /> 0 3 0 t� (���0 <br /> OwOCf fdeil Atldre9s Clly S�ale/Zip Phone <br /> �7�l�-1 ��-�+ - <br /> nenl _ M�ilA�s�s� �� �i1y Slale2ip ���Q � <br /> —�3 /� Pc�-e- S � Fr� l�-t�t- V.9� �$b3a- (p�oo <br /> Electdcal ConUaClor Mail Addross Clty Slete2lp Phona <br /> �ZC'.(�S�q�O �hC.. � . �(�S , �o <br /> Slate Licenso Number Contract Pdc�ork <br /> Proposed Use of Building onlact er��lan Review) � V ` <br /> Descripticn o1 Wo�k to 6e Done: Lil I CJ�� �!/�-`�n\ � �� llµ^r 0� <br /> �� 3� �� -Co203- - <br /> NOTE: WIRING IN NON-pWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAE3LE. � <br /> ---� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceifily Urat I hovo mud and examined fhis applicatlon end know the seme to ba We and //11 I <br /> corrocL All provisions ol/aws nnd ordinences goveming this fype oI woik wfll be complefed 1.I'1 �9_ i� <br /> �vbetlrei speci6ed hewin or nof. The yranling o(e perm�t does notp resume to glve aufhonty fo �.. L � <br /> v�olate or cancel fho provisions o!eny other stale or local law regu/ating conslruction or fhe <br /> porfomrance of construcfion. Tlraf I am nufhorized Gy the owner o/�his property fo pedorm fhn <br /> work lor wfrich�pplication is made and I campty with�be Sfafa Conbac(ors Law 78.27 RCW and <br /> 29G.200 WAC. - <br /> �G���.� O � � Z <br /> ignalurn a c <br />