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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � Z _ �y�� <br /> 3200 C[DAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org `09/ Z _O 7y <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> '��/l� ,� I i f < <,- (_��,��� , ��1� <br /> PROJECT ADDRESS <br /> �i _� � �: _.,� ;_'� E. 7Fa ���'�'Y <br /> Ovvncr A1ail Address Clty Slale2lp Phone <br /> Tenan� Afall AdA�ess Cily Stale'Zip Phone <br /> � .. i <br /> �� � �;��� �1� � �. ,� ; � , .�, 5�7 ��,�� ���;. � � ���r;� ���rox-1. - <br /> EloClrical Contrac�of Mait Address City Slnle2ip Phone <br /> i / <br /> �. l���t. �� IGl ���—� �� � i����iL, � _ <br /> Sla�e Liconse Number Conliacl Price ol Work <br /> Proposr,d Uso o�Building Contad Person (Plan Reviaw) <br /> Descriplion of Work to D�, D��ne. _� '��.p ( ( �•�n, ,C� �_ .�.`- /���:��"' -- — <br /> i/ <br /> NOT[ WIRING IN NON-DW[LLINGS IS R[QUIRED TO FEE <br /> �E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 horob�certil}�fltnf 1 have road nnd exarnined Ihs application nrtd kno�v Ihe seme(o Ge true anA <br /> correcf tlll provisions o!Inws nrrd o�Ainances gorennng fhrs fype ol�rork will bo complefed <br /> whefhAr spealieAhmcin or nof. The granfinp ol n ponnR does nof irosume fo give aufhnnfy fo <br /> violaf�o�cnncol Uio!��ovlsions ol eny other stale or local lnw repu�efing consfrucfion or fhe <br /> pedonnance ol construcfion. Thnt I ern aufho�ized by fhe mvner o/this preperty fo pe�lomi the <br /> work!or nhich epplicafion is rnndo and 1 comply with fhe Sfafe Conhncfors Lew 18,27 RCW end <br /> 29fr.200 N'AC. <br /> — /'� ��// � Gl�� - O�a• <br /> SiE�naWre Uate <br />