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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � •-9 ��a � <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org C ����_p� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ���JC���`> � � d<`-'�l rJ f� �� L� L l � <br /> PROJECTADDRESS <br /> ��� (�vC ��3 (�J C�SI�'�,t� �—.�� �� �l. )� <br /> Ownor Mall Address City Stale/Zip Phune <br /> ` ( � . . , <br /> Tenanl Mail Addrass Cily Slale�Zip Phone <br /> {�Y1- ,tie<'=�P1�� i '11Cx � 1:��� �'2r(L,�-��e.��� w� ��I(-7 7-c�-Z273-F�C�`� <br /> Elec�dc�l Conirac�or Mall Address Cily Slale/Zip Phone <br /> ���Y � �t � �� <<�� f-� ��- �� � <br /> Sla�e Lic�nso Numbcr Co Uacl Pdco of Work <br /> Proposed Use o(BuilAinr� Contact Person (Plan Review) <br /> � <✓�Ui I 1\�nf'� �\n.1L� W�-N� N� L\G�1 � <br /> Descriplion ot Wark to�o Dono: �1 � <br /> NO1L=: UJIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> [�E IN RAC,�`NAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �/ !Y>p - OS`� <br /> 1 hereby ceriif}�thnf I hnve rena end r.xerninod fhis np{�licntion and Wio�v the seme lo be 6uo nnd <br /> correcf. AO piovisions olla�vs end orJinartcos governrng this fype o!�vork will bo cornplofed <br /> whether specdied hc�ein or noL The grantinc�of ti pnntul Aoes nof n�esurno to give aufhonty fo <br /> violale or concel fhA provisians o/eny ofher sfafo or locol Inw regulnfing conshucfion or fhe <br /> peiforrnnnce ol r,onslrucfion. Tf�at I em r�idhorized by fhe ownoi o/0us proporty fo peAomi the <br /> work lor which npplicefion�F.r'��dA nnd 1 wmply wifh fho Sfefe ConVacfors Lew 18.27 RCW anA <br /> 296200 WAC. �- <br /> - . _-� <br /> , . ,.. � ( � �..y _ c(' �L� <br /> c-c3�� <br /> . -_��n�lun• -- __---______— Da�e <br /> I .. _ '_--_ _ _--__' <br />