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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 7`'3-� --� <br /> 425-257-8810 - FAX 425-257-8857 -www.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �O�d7�-I1S <br /> �033�' Evc+'kfr�.i. wr-7 <br /> I � <br /> GJca@,E� W11 �1t�4�o�( <br /> PROJECT ADDRESS <br /> f� ��eN�w �o �;���-�e� <br /> Owiirr Mail Address City StatelZip Phone <br /> 2e� <br /> Fu�'ctL. U�UvcSH� I$33U 7� �h �LW �hs�u'�c4 WA `1s��s� 3.g'���b'z3 7 <br /> Tenanl Mail Address Ciry Slate/Zip Phone <br /> ElerlrieeF-Eantraslo� Mail Address City Slate!Zip Phone <br /> I Z vYa�'1�- <br /> State License Number Contract Price of VVork <br /> K C TV,/-�1 — <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescriptionofWarktoBeDone: GG1G`n 1i11�� �e� CectE� -t �as� ���iS1�eV <br /> NOTE: WIRIN�� IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> ,I I <br /> W CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y certily that 1 have read and examined Ihis application and know fhe same to be Vue and / <br /> correct. All provisions ollaws and ordinances�overnmg this type o(work�vill be completed <br /> whether spealied herein or noL The granfing o(a permd does not resume fo give aufhonty to <br /> violate or cancel Ihe provisions o/any ofher stafe or local law reguPting construcbon or the 1 `'� <br /> performance o/construcLon. That 1 am aufhorized by tha owner o/this property to per;orm fh,e \ <br /> vork/or which applicafion is made and 1 comply�vith the Sfate Contrac(ors Law 1827 RCW and 1 <br /> 296.200 WAC. <br /> '� ,� � �'-1 - 1 � � C,' � /�� <br /> �� 0 <br /> _,Signatuf�-� Uale <br /> �r. <br />