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ELEGTRICAL PERMIT APPLICATiON <br /> CIT`�f OF EVERETT PEFtMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-88�7 —www.everetlwa.org <br /> APF'LICATIONS ARE ACCEPTED FRnM 8 AM TO 4 PM 3 ` '30 `(� 7 <br /> � - r , <br /> , <br /> �' ' � L �' ' i '.- (, - ' " L � (— . ��ii.�� � ��r� <br /> PROJECT l�fIDRESS <br /> '��'. / l /1.���( ��.•n, ;(�' � %�L� � ��� ' � h'% l.!'� ,_'U��• l� �r,�LV �ti.�� �� L� �c'. 155� <br /> OWner Mail Addross Gly State/Zip Phone <br /> �� , �...' _n.ri _'� '.�LV <br /> (4�' <br /> Tenant M11all Addross Cip� Slale2i� Phonc <br /> 4,�� `,�T � L Cl��l�iL ly��1. � L•'��z /1l-i: ��C SlvuNun� K�1 Gv/I i����'� ,��� �,�9-7�1 - <br /> EleCtrical Con�raC�or Mall Address Cily Slale2lp Phone <br /> ��1� �f l"�'l(� l� Jf'�f 97 _ �' ��1�'� <br /> Slale Licr.nso Numbcr Conlracl Price o�WorY. <br /> Proposed Use ol BuilAing Con�acl Pcrson (Plan Review� <br /> Descrqitiun ol Worh In Oe Ouno. _ , •> �4 ! a i�)� `��c���l1�/)P( . SC/i /.t% l_��_�— <br /> NOTE: WIRING W NON-DWELUNGS IS REQUIRED TO FEE <br /> DE IN RACEWAYS, MC OR AC CA�Lf. <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> 1 he�ehy certily fhat 1 hare iend and ezernineA fhis npplicntion nnd kno�r fhe seme lo be fruo end <br /> corrocL All p�ovisions U(IAIVS AIIU ORIIl18fICC5 QOYCIT11119 IIIIS Iy'E)B OI N'O/If R'III bP complofr,d <br /> whefher specifieA herem or nof. Tho granling o!e pennd dces nof �resume fo give eutlionty fo <br /> violate or concol fhe provisions ol an}�othar sfnfe or locnl le�r regu�efing construcCon or Ihe <br /> pedomience o/consliucfion. Thot 1 nrn eufhorized by fhe o�+ner oI fhis property fo perfomi fhe <br /> worh lor which applicafion is rn�d�end i comply it�ifh Ute Stafa Confracfors Law 18.17 RCW anA <br /> 29G.200 W'AC. <br /> �, ��- � '> -��.. � <br /> —"__.SnpialUrB '—�--- 08tB "'_—' <br /> G-�'7[>3 l (t lP <br />