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� —� -- ' � <br /> � <br /> EL�CTRICAL PERMIT APPLICATION <br /> C17Y OF EVERETT PERMIT :iERVICES <br /> 3200 CEDAR STREET, El/ER�TT, WA 98201 <br /> 425-257-8810 - FAX 425-257-88F7—www.everettwa.org <br /> APPLICATIOIdS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � � b 3 �- r7 L'^/ l��P � �'r �'v.p re� L'✓ /� l ��/ <br /> ! <br /> pROJECT ADURESS <br /> ��//n <br /> �� � Y`; �- k r �s^� S �z���' ��-e � �y,�tiw��.�l r�3G <br /> � <br /> Owner Mail Address Citp Stale/Zip Phone <br /> �; ���-, I i 6=3 2 r�i�� 5� a� �� Ev-� r��rf�` c,�A �d� � <br /> Tenanl Mail Address r Cily Slate/Zip Ph�ne <br /> ���n"`rR U J A '�,� � 5 1 05 h l,t.-�' 9 � .� ��j7�i'-.� �� `� C�!� I tr.� � <br /> —� <br /> Eleclrical CoMraclor Mad Address Cily State�Zip Phona <br /> ; � r-���,� � 3 3 f3 p �` 3�', .--_ <br /> Stale License tdumber Contract Price of Work <br /> � <br /> Proposed Use o(Buildiny Contact Per on (Plan Review) <br /> C .._ <br /> Descriplion of Wor!c to Be Done: _�� D � ��� '�� '�+2_ � ,�.ff% <br /> -�j'i� �. L i7-v�i�� <br /> NOTE: WIRINu IN NON-DWELLINGS IS REQUIRED TO FEE <br /> SE IN RACEINAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 nereby certily thaf I have read and exarnined this applicafion and know the same to be true and <br /> conect. All provisions o(laws and o�dinances c�overnuig fhis type o/work will be coraAleted <br /> whether specJied herein or not The granling o(��pennrt does not presume to give autl�ority to � <br /> violafe or cancel the provisions o/any ethsr state or local law regulating construction or the ' <br /> performance o/construc6on. Tlrat I am authorized 6y the owner ol th�s property to peAorm the ��� � `7 <br /> work/or whicl�applicalion is made and I comply witli the State Confractors Law 18.27 RCW and ./f� � -�f <br /> 296.200 IA�AC. ( <br /> � l - ���, 9/��� � <br /> Signature � Da e <br />