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� ! <br /> ELECTRICAL PERMI�T APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-vwvw.everettwa.org �_S.�;�g <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM b�o 90 s-d ay <br /> � � <br /> 5 � /S ���v/,- ��� <br /> PROJECT ADDRESS <br /> �f 'GhGI-� .SCU/'2 .Jd�7�CCU�/r �i.� �!/t'i�f/ C//�i�/� �Z03 y2S-Z�L' �3a <br /> Owner Mail Address <br /> CItY SWte/ZiP Phone <br /> Tenant Mail address <br /> City Stale2ip Phone <br /> ,Cy�r��ir .Sf��I�.Siid�-,c 3G'O/ .Fdu z/i�� �/-'�-'// ���0 / �Z3-Z�`z � <br /> EI9�C�ncal C^onUaclor Mall Address City State2ip Phone <br /> 'Y <br /> �%�Pwss /yZ �^� ° <br /> 2 S�O� <br /> St�License Number CoNracl Price of Work <br /> .1�� 5 fil/U/-�� <br /> Proposea use ot dmldinc� Conlact Person (Plan Review) <br /> Descriplion of Work to Bo Done: _ J /V�� �v��aG /5 t N�w/,�e�J�c�7 P � '� <br /> �/r/�i� i. ��i/-!�cl�e li��^r�n � C(/'i't5 G/ �r�✓fr ,�'/ZG./' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN R4CEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily fhat 1 bave read and examined this application and know Ihe same to 6e We and <br /> correct. All provisions ollaws and ordinances govemmg this type ol�ti�ork will be complefed <br /> whether specified herein or noL The granting oI a pernut does notp resume to give aufhonty fo <br /> violafe or cancel tf�e provisions ol any otfier sfafe orlocallaw regulatingpconst�uction orthe <br /> work/o a vh ch appl c�atio�'s n a'de araid 1 cotrriply with the State ContrecfosPLaiv 18.27 RCW and <br /> 296.200 WAC. <br /> 1'— <br /> ���� ��—�� <br /> Signalure Dale <br /> Ec��os -vLy <br />