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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> �I � U� �o �e�t � � , <br /> PROJECT ADORESS <br /> S�1 P,V V I .l S1�1 I f"j'1 U�0 i !—UY E 5 i d�)' � 1/G1.'�( i"—f' \NA C u O�' <br /> �e� Mail Atldress Ciry State/T�p ph�� <br /> Tenant Mail Address Ciry Stale/Zip phone <br /> Fv�vr�� Fla �� t� � . I�I��Z �Narf��ti �fZs 3�t �! -G3a�J <br /> I [ '� k�R ������� ,�z , wa ���l�ro <br /> Electncal ConVactor 1.1ailAdtlress Ciry StatrJLp Phone <br /> 1; �Vvt IVC- I,�l � 3GP � �pC�G • C�a <br /> State License Number Confrect Price of Wcrk <br /> �C S I�C��1'l fi l � ( ��" I f�,f : �-f 2��Ct�0�{y� <br /> Proposed Use of Bmiding Ccntact�� Rev:aw) <br /> Description af 1Nork to Be Doner _���-(� �(�i�-(�'`/ , <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I he�sby certi(y fhat I have read and eramined this applicalion and know the same to be frue and <br /> correcL All prcv�sions oflaws and ordinances governmg this typ�of work u�ill be completed <br /> whether sFecified herein or not. The granting of a p9�mit does notp resume to give autl�onty to , /� <br /> violsfe orcancel(he provisions o(any o!hersfats or/ocal/a�.v regulafing consfruc5on or fhe .\ �( <br /> pedormance o/cons7ruc6on. That 1 am authorized by the owner of this proper,y fo pedorm the /�V � <br /> wc�k for which application is made and I compty with!he State Contraclors La�v 18.27 RCW and <br /> 296. WAC. �\% � <br /> .�"� <br /> � � ' � 5-.3- ZO � <br /> / oa�e <br /> � <br /> : <br /> Z'd bl9l-Z98'09£ �eMoaal �4of e0980 90 £0 �eW <br />