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. <br /> Y <br /> \ \ <br /> El_ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � ��� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8810 - FAX425-257-8857 —www.everettwa.org CD��Z,�S <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �1`� `�/ � �°17��v' ���.1� /�i� <br /> PROJECT ADDRESS <br /> /'i�i"L /���i r�' ti��__„ �_,� S <br /> OWnof Mall Address Clly Slate/Zlp Phone <br /> Tenant Mall Address Clly Slate2ip Phonc <br /> �1 �L Iti' � V� !'�Fc_ i �tr � �� <� Ji.il <br /> EledriCal CoMfaClor Mail Atldress City Stale/Zip Phone <br /> /l. �L. L� ��1 J_� �.L� �. �> �� �� . <br /> Stalo License Number Cunlract Price ol Work <br /> ��1—�ti <br /> Proposed Uso ol Buildinc� Conlact Person (Plan Revlow) <br /> Doscriplian ot Work ta Dn Donc: / �' �� i 1 i/ ' 1 / - �•- % /�/C��� S£�� �l�- k <br /> NOTE WIRING IN NON-DWELLINGS IS REDUIRED TO FEE <br /> [3E IN RACEWP.YS, MC OR AC CABLE. _ �� <br /> � <br /> y'� — <br /> CI1Y OF EVERETT LOCAL SA�ES TAX CC�DE IS 3105 <br /> 1 hereby certily fhat I ha��e read n�d ext�rnined this applicafion end know fhe sarno fo be Iroo ond <br /> r.orrecl. All provisions o!laws and orAinnnces,�o��ermny fhis fype o!work�vill be completed <br /> �she(her specilieA herein or not TF�granfinq cl n pernul does nof pros�mie fo give aufhority fo <br /> viulafe or cencel fhe provisior� ^ dny ofh��sfm.�or locel law reguleting construcfion or the <br /> pe�forn,ance ol consfrur,tion. 1 i� �f I ent oidHorizei by fhe owner o/Ihis propArty fo pedonn fhe <br /> wor4 lor which;�pplir,nfinn is rnado and I contply��Ith fhe Stafe Contracfors :ew iB.27 RCW enA <br /> 79G 200 WAC. <br /> ���=a � � - �� 7 <br /> ipnaNre Uate <br /> ' '� -� __._._-/ <br /> Cc 7v z -Uu�j <br /> L <br />