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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - F„X 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> ,< <br /> I , <br /> � � `f._ ��' �� l�e� �` � <br /> PROJECT ADDRESS <br /> ' \ <br /> f�1�,.. �_.1��� �� � � � � � � �Ai.� .., �� iV��`�L�� ' �. ���L ( � L `- � <br /> Owner Mail�ddress Clty � Slale2ip Phone <br /> Tenenl M11ail Add�oss Cily St21c/Zip Phonr <br /> � ��� �� � l"��.Pi� � L � � � �' 1`.Y_,`h �Z �� 5{Uv 61�.,L115'I ' l,v-A S bL : � <br /> Eledric�l Conlraclur A1ail Address Cdy SIa1N2ip Phon�• <br /> 1��`�/� Il ,'�_i-' ,:' ��/�� ��l ���JJ _- <br /> Slato License Number Contract Prir.e of Work <br /> , <br /> � 1 <br /> Proposed Use o�Ouilding Conl:�ct Person (Plan Review� <br /> , , ,/� -7 �1� <br /> Des�nptinn o�Wort lo [3c Dnnc� �� C � � �I L L- �� 'L i�� /•"l��_ lL'- /c / 7/�(�C — <br /> � � �\ <br /> � � I � � /i.�`C c LU � /'I�C GJ �C� , <br /> N011= WIRING IN NOIJ-DWELLINGS IS REOUIRED TO FEE <br /> C�E IN RACEWAI'S. ��4C OR AC Cn�LG. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> 1 hereby cortily fhnf I litia���rr�id ivnd exnrnined;his applira6on and kno�r fho same tu be 6uc�end <br /> conect All provisionb���lla�ss c+nd enluiancrs�orermny fhis t��pe of�rork will Go wmplefed <br /> ahefher spocilieAhc rm or nof The�renhnF ol:+perrnd Ao�s no( r�surno lo gire uufhonfy to <br /> violate or c.incel(he rnvis bns ol nny ofher slnte or locnl low�egii nfing constnichon or fhe <br /> pe�formmice ol con hucfion. Thaf 1 arn nufhnnzeA by the o�rner o/this proparty fo pe�lonn fhe <br /> wo�k lor whir.h eipplita6un is rnnUe nnd 1 crdnply�vifh fhe Sfah�Conf�acto�s Lnw f 8.27 RCIV nnd � I <br /> 29G 200 K'A C. � ' <br /> I � ' ���� � <br /> -- _ —�_.___._..- <br /> � tiI�.I1�AI�llr. • ()a�Il? <br /> � . .._.._.. _ . . . . . ...— _ . .... <br />