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��ECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT �ERVICES <br />3200 CEDAR STREET, EVEREIT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�i 'C� �� �� /-+ r '�'�r'.{ � ���1� �Lf � <br />PROJECT ADDRESS U <br />Owner <br />� I <br />�j, , N <br />�tii.f <br />Tenant <br />Mail Address <br />_ , ` %' <br />� ��.'�� L'..� �� ���U,�_J ; <br />Mail Address <br />_��i`�-�-, Sy � f� <br />Eleclrical Conlradur <br />Mail Address <br />r <br />cj �r 7 i� i(' �O�`� � �. <br />Stale License Number <br />/ � <br />���c,��ic�,� ���/ j,�<<��/, <<: v;= <br />Proposed Use of Building <br />Ciry <br />Ciry <br />-.>G� � <br />��/ ,�,� <br />� ,_ <br />Ciry <br />SlalelZip <br />State/Zip <br />(rr�;�r�. L� , <br />� �, <br />Description o( Work lo Be L`one: / t?G� `� �� '�� ���, v��: <br />".n t�J� wr"'- � T � <br />i 4i� l����l� %C G� 1 r �f' {'�P c Ccs �Ti'. .c <br />,; . <br />, �i nc0 %�//, � f �.�r�u�n % Oaaf��r�" <br />G <br />NOTE: VVIRING IN NON-DW ELLINGS IS REQUIRED TO <br />BE IN RA('EWAYS, A1C ORAC CABLE. <br />; <br />siacerz�� <br />3 -9 -o �� <br />C 07d3-DS/ <br />Ph�ne <br />Pnone <br />Pho�c <br />�-� SGO =� <br />Conlracl Price of Work <br />-\� / � '� <br />. � r,-;' ` , ti, , - <br />Conlact Person (Plan Review) <br />i / <br />� , G; dc>' C�jczft_��� <br />t..�� L: ��rs ;�_v.ar <br />/ �— <br />n «���. � ���zt�- r�::.� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify fhat 1 have read and examined this application and know fhe same fo be true and <br />correcL All provisions of lau�s and ordinances govermng fhis type o/ work will be ccrnpleted <br />whether specilied herein or nnf The granting o/ a pemut does not presume to give aufhonty to <br />violate or cancel the provisions oI any ofher stafe oriocallaw regulafing consfruction or Ihe <br />performance o( consWchor. That 1 am authonzed by fhe owner o/ Ihis property to perform �he <br />�rorlc lor uhicH applicafion is made and 1 compl}� with the Sfate Confractors La�ro� 18.27 RCW and <br />� <br />3- � - <br />FEE <br />� � c' <br />'� o <br />,, <br />�.� ��� <br />,, �� <br />