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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.evereltwa.org �,:p 7 0 �- d o 0 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � ?` " � I ( �1- I ,,, , � <br /> PROJECT ADDRESS <br /> Owner �Aall Addmss Clly Slate/Zip Phone <br /> Tenanl h1a11 Addross Clly Slate/Zip Phona <br /> - , �� ( �j� ��--� , <br /> �� ��A `�,���t I ��-�. �t �1,� �i�� ���;� ' t�i�� ��� �-� � <br /> Electrical Coctracbr Mall Addross City Stale/Zip Phone <br /> � Cr t�<,i��� �ISYI f��l�t I — <br /> State Uconse Number Coniract Price of Work <br /> � ; <br /> �:.� ,;, •�, <br /> Proposed Use of Building Conlact Pmson (Plan Revlow) <br /> � i <br /> Description ol Work lo Go Donc_ ��'--!----!�_��1'���'`. I _�1 ���f� � yi; C-',��. �S . <br /> ����' • ��_ //j�� �"��1 —� �l_1 � � I/'Y�l'-I <br /> NOTE: WIRIIJG IN tJOIJ-DWELLINGS IS REQUIRED TO FEE <br /> DE IN RACEWAYS, h1C OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE�S 3105 <br /> I hereby cerii/y fhaf 1 hare roaA nnd examined O�is opplicntion nnd know the seme to be truo end <br /> correcf. All prowsions o�laws end ordinances got�ommc�fhis fype o/e�ork will bo compiofed <br /> whefher spociGoA herein or noL The gimVing o(e pennrt does not �resume fo gi��o authonty fo <br /> violafc or cnncol fho provisipns ol eny ofher sfnfo or local law regulating conshucfion o�fhe <br /> pe�fonnnnce o/constnicfion. Thof 1 mn auf!ionzod by fho on�nor ol fhis property fo podomi Uie <br /> work lor rvhich n�blicafnui!s mnd�nnd!comply with fhe Sfnfe Cenhaclors Law 18.27 RCW and <br /> 29G20J�IM1�AC. ; � <br /> � <br /> i . ,. `-, � 1(r _(�—� <br /> -- " --1- �,> <br /> Siunalmn ' U2I8 <br /> i=� 7U g'-,�Oi� <br />