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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES /a_��i-O� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �d������ <br /> 425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> _..JI l �1 C /f�fi�,.;7 c' 7 ai. re7 Oi. ,-e <br /> PROJECT ADDRESS �/�� j c�c� <br /> ( /��„ , *��,n,�, � F�-r,,P� G��/¢" `/f7'� <br /> Owi1Cf Mail Address Cdy State/Zip Phone <br /> ��� <br /> Tenanl Mail AAdress !',��G �J � 1/ STy� Lp L�h S � <br /> C'�,570 � %t� �l ��r,7i c [ � [: 4„EP S �sr.-, �� `I�� S� ��9'i <br /> Electrical Coniraclor M11ail AAdress Gry Slatc2p Phonc <br /> � �, 3( l 7— � S o0 <br /> , <br /> Sta�e Lir,enso Nwnber Contracl rice o(Work <br /> /✓.f�f, L l '1' �/ ,-r/�v�7 �r"S� ��J� p / ���1 <br /> Propos�d Use of Building Contact Person (Plan Review) <br /> Description ol Work to Dc Donc: /'l rS (��' 1 / �( � �"P ���- �L NL <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO FEE <br /> DE IN RAC[WAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I huu�by certd}�fl�;d 1 hav���oad and rxanuncA fhis npplicahun nnd know fha same to be huo and <br /> conocf. All pio��isions of I�ws and oiJinnnces pavenun�Ihis type ol work wdl be complefed <br /> whefher specilivAherein or noL The r7ranhnc�o!n pernuf Aoes nofl�resume fo give aidhority lu <br /> violafe or cnncnl fhe piorisions o��ny ofher sfale o�locnl law rec�u afing cons!ruclion or fhe <br /> pedonnancr o(consf�uclion. Th:�l I arn nu(ho�iJed by fhe owner a!Ihis property fo perlorm fhe <br /> work lor which epplica(ion is maAe nnd I com�ly wifh the Stnfr Conlractors Law 18.27 RCW and <br /> 79G.200 WAC. <br /> � �— � <br /> ��.���,,., %�5: ,�,� t - ,,�/� ��� � ��a -��� <br /> sic�n:,�wo u �o <br />