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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 /> - � �L� � � , ; .�� r���— <br /> PROJECT ADDRESS <br /> ����,7�' ,�. � �. ���'_�'_ � � � x J. ��.C�°_� � ��1� ��1 �C�i ZIS 6 ooti�1 ; <br /> Owner Mail Addross Cily Slale2ip Phone <br /> Tenanl Mail Address Cily Stale2ip Phone <br /> -f'1�'T'�C. �_ � ��` C ', L Z � �"�-_i' �-�-1? 1E i r li�A �1Fj.Z[-1 Z �S6 dGE�135 <br /> Eleclrical Contraclor Mail Address Cily Slate/Zip Phone <br /> State License Number Contrecl Pdce ol Work V <br /> Proposed Use of Uuildinc� Conlacl f'erson (Plan Reviow) <br /> Descriplion of Work lo Bo Done: S�L= �% ��ti l i��� n F OL �j �Y�,�j(, � 1,1'e`�.1 <br /> �— <br /> �,l'QV �CI, �6.� �?l ��� L. 1-lpl,�;. , <br /> NOTE. WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RAC[WAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hcreby r,erti/y Oi�rt 1 have reoAond exarnineA(his npphcation and know the same fo be hue anA <br /> corrt:r.l All provisions o!laws errd ordinances governmg this type ol work will bo complefed <br /> whethrr specilied herein o� nol. The�ranting ol a pernuf dues nof �resume fo give authonty fo <br /> violalr, or cnncel fhe provisions o/any nfher staf�or local law re�ulntin�consfrucfion or fhe <br /> peitnnnence ol cons6uction Thal I am aiRhorizeAGy Ihe owner o!fhis property to perfom�fhe <br /> woik!or which npplicafion is nreAe anAl cornply wifh the Slate Contracfors Law 18.27 RCW anA <br /> 296200 WAC. <br /> - . � �� <br /> _ � 'l ��1 ��t �� Z �:nl <br /> SignaWre Oate <br /> �-�t�CCr -! Z ] <br />