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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 <br /> APPLICATIONS ARE ACCEPIED FROM 8 AM TO 4 PM �Z --// .�O�j <br /> Eobi2-o�/ <br /> `� lC l�� .v�(� C�.a,. ��� ���' ��- <br /> PROJECT ADDRESS <br /> y zS <br /> � � I ) F� �. �, -/- �!i LL'� i32 �ss � <br /> .J 1 r. �' T Iti1� � �� e I � �t•�uc � '^`i �w-w�u'h <br /> Ovmer Mail Address City S te/Zip Phone <br /> �;, ,^ , /�I ��i nl. ,,' � .zt� Ikl l�� :{ �..�„ �y,,, ieti y� zey 3�e ._�s � �') <br /> Tenanir Mail AdAress City Stete2lp Phone <br /> ��' <br /> ' ' ' '�C LC- 3�� /C <br /> � f �� ti f r� a ;r �i'l���L f �. ��< <�l� ��"�, �:.(� �.�...��- � y9B � � <br /> Eledrical CoMredor Mail Address City � Slete/Lp rnona <br /> CC <br /> (�� C� f�, •i � ��4� �� <br /> Slate License Number Conlract Price of Work <br /> �� � ��� L�w �", <br /> � � � �. � U 4A •/ �� <br /> Proposed Use af Bwlding Contad Persan (Plen Review) <br /> 7 ' (/. �/� <br /> Descriptlon ol Work to 6e Done. ( l�_ ��! ��� �L �Lv� `V��1 �� 11 �1.4L-�/� <br /> J <br /> I <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS�106 <br /> 1 homby cortily fhaf 1 have road end o�aminod Ihis applica6on and know fha samo fo be fruo antl <br /> cormcf All provisions ol laws and ordmances govemmg(his fype ol work wdl be compl�ted <br /> whefhor sEwa(ed homin or nof Tho granhng ol a peimd dces not �osume fo grve eufhonty fo <br /> v�olafo or cancel tho prowsions ol any ofher stafe or local law roguPfmg consfnic6on or the <br /> poAoimancro ol consl�ucfion Thaf 1 am nufhonzod by fho owner ol fhis property to peAorm(he <br /> �vork lor wlrrch app6cabon is made and I comply wifh fhe Sfafe Confractors Law iB 27 RCW and <br /> 296 200 l'IAC. <br /> G' � ' <br /> ' D� <br /> � t�� ' i � � � <br /> —i — Dale i <br /> SipnTl �c <br /> r ��:,i,�-v5� <br />