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. � • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S'fREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-?.57-8857-www.everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3�u� W c�s i,�� r� . y�- s� , s� ��s �ti � F � <br /> PROJECT ADDRESS <br /> �O f3 i n1(r-_-- - - -------- - -- <br /> OwnEf Mail Addiess Cny StaleO�n Phone <br /> I <br /> ____ _.___ . � <br /> Tenant hlail ntltlress Ciry St�terZip Phone <br /> (.�r_r <br /> 5 �SZFz �� � / 330o Se c%` a/J; tSettKvuF W.�} 9i'r��; �- 5� <br /> � c c. -3-----�— � --- -- �--6 � <br /> Elecincal Coniraclor y � 41ad ndAiess � Gly Slale2�p Phone <br /> syc�c e� � sv�� '� �3zr�. '" --- <br /> State License Number � j� Contrect Price of Work <br /> � � l. <br /> �rLl� l�� LI n1 �� <br /> Proposed Use ol Bwlding Contact Person (Plan Review) <br /> DescripLon ol Work ta B„ flone 1�S�,i A1— L CQ�.1.'l1 �TS �� r�__ �/+(, i��'�`/ __ <br /> ��__��t �. (�i'T'�C. L.�l.�.-- - _..-- -- <br /> NOTE WIRING IN NON-DWELLINGS IS REOUIRED TO FEE � <br /> 8E IN RACEWAYS. MC OR AC CABLE <br /> CITY OF EVERETT LOCAL SALES TA% COOE IS J105 <br /> I hereby cer y fhnf I havr, mad and e�emined Ih�s anP6cahon nnd know flre same to Ae hun and <br /> r,nrrr:cf A1 provisrnns ol lows and ordinances governnrg fhis type ol wo�k wdl be romplofed [O�LL Z 'O�� <br /> �vhether ec�heA he�enr oi nol The yrarrGny ol a pem�R does rrot presurne fo grve aullronfy fo <br /> � vrolaM cancel llrn pmvisons olany ofher sf��fe o�localla�v regiJafmg consfn�c6on or(he <br /> perlorr ance ol corrshudion Thaf I nrn nuthnrrzed b y firr.oH�ner of flr�s prop�riy fo pmlomr fhe <br /> work/oi w��ln�cJl Gc»I�nn rs nr,nlr rinJ I complV�t'i(h fhe Sfnfe Confracfors La�1' 18 27 RCW and <br /> I 296.?00� <br /> ! - � � �-- Z/► /�� <br /> � � Su,n.tlun—, ---- o�W, <br /> il I <br /> I � <br /> I <br />