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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 ACCEPTED FROM 8 AM TO 4 PM <br /> �1 � � /� <br /> (�� ��� ` (_ Li����� �= �� r- <br /> PRDJECT ADDRESS <br /> � Z/5 <br /> � ID��'� L��d ,���Z-C�i)Jcl? � i GJC-7�L:7T- c.�A- �(�zo� G9o��Yss- <br /> Owner Mall Address Cily Slate/Zip Phone <br /> �Uti� <br /> TenaN A1ail Address Cily Slale/Zip Phone <br /> 3�0 <br /> .�i�An -r �t��ui'rzr,lL�l�'�,�� Yc:U3 -/�"`/�'SI-`� jNu/iu.ctG�j G/�1-`(�96 (cb8 ��v.� <br /> Eloclrical Coniractor hlail Address Cily Slalc2ip Phone <br /> [�il/-1�1L L(: `1�3 �G� <br /> Stalc License Nunibcr Con�rad Pdce o1 Work <br /> ���>'�.�� h/�l1'�� <br /> Proposed Use ol Buildin� Con�acl Person (Plan Review) <br /> DescriplionofWorkloBeDone: ��C/aT[ Z��V,t"!) �=s'd.CC� Q�Q,Q /Q (—��[��{5 ��puv <br /> �IK/� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I he�rby crrtdy Ihal 1 have renAnnAexnrnined fhis opplicalion and know the senre fo be frue nnA <br /> wnecl All piovisi�ns o�laws anA orAinences govemin�Ihrs type o(wo�k will be cornpleted <br /> whefhor specilied he�em or nof. The granfinc�ol e permd does not nesurne(o give aufhority to <br /> violafe or canr.el fhe/vuvisions al any ofhrr slafe or local lew regul.�fing conshucfion or fhe <br /> pe�fotrr+a(�cc o/consfrur,lion. lhef I�m aulhonzed by fhe owner o/fhis property fo perlomi fhe <br /> work lor which npplicatinn is maCe and I compty wifh fhe Stafe Confrnctors Law 18 27 RCW end <br /> 29G,200 WJ�C. <br /> � i <br /> � \`�� <br /> � — '�.'v�`,�.-/v-'.�� ��t � 5� � �� ���� <br /> tinmaWrr a Da�e <br /> L V�L�J� "�/��"( <br />