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/(��/.��1'�� J <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVEREi"T PERMIT SERVICES <br />3200 CEDAR STREET, EVERET7, WA 96201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org a—�—��( <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �C� /��-'� <br />( C�;�'�� �v�i��Ir'�'E%� (✓c�t�C <br />PROJECT ADDRE5S <br />Owner <br />TenaN <br />Eleclrical Contractor <br />t.fail Addmss <br />� � <br />�i r���; i�7���/S � <br />� tdaiiAddress <br />`p�� G'✓i �Ci � /� l.:? <br />�� hlaii Address <br />�'l'i N,�'" /� S /�/�C' � � <br />State License Number <br />F�roposed Use of Building <br />City <br />Cily <br />Cit� <br />SlatelZip <br />i Cci��'P/� Gd/J <br />.s� n <br />Description of Work lo Bu Done: I��j�vS � G� n i'✓ Cf'n'� <br />NOTE: VJIr21NG IN NON-DWELLINGS IS REQUIRED TO <br />B[ IN RACEWAYS, MC OR AC CABLE. <br />YI f y�/. c'' <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceriily fhaf 1 have read and examined fhis applicafion and know fhe same fo Le Vue and <br />correcl. All provisions o! laws and ordinances governmg (his type ol wark will be complefed <br />wlicfhcr specified hercin or noL The �ranfing o( a pernut does not resume (o give au;hority to <br />violafe or cancel fhe provisions oI any o(hr.r stale or local !aw reguPling construchon or fhe <br />pedormance ol consVuc6on. Thaf 1 am authonzed by the owner o/ fhis prop�rty fo pedorm the <br />work lor which application is nmde and I comply wilh Iho Stafe Confiactors La�r 1t327 RCW and <br />2�6200 WAC. <br />'; ��'C��.'%J�)�I��'"`-`�� �����) <br />�j'--- - oam <br />Signalwc <br />fEF,� <br />,5c�, Dv <br />Phone <br />y�s <br />,��,7,;� <br />Phone <br />�7 } <br />; - y���,- <br />Phone <br />� '7 <br />,� 0 �l �,Z _ �� J <br />