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i <br /> , , <br /> � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 3_a 5-f v <br /> 425-257-8810 - FAX 425-257-8857—www,everettwa.org <br /> APPLICATIONB ARE ACCEP7ED FROM 8 AM TO 4 PM ���� J`I?U <br /> � I� r��b��, 7r <br /> PR JECT ADDRE8S <br /> f6e��(�^��-u v 6 ��� lZ"�{' <br /> Ovmer h1allAddroea Clty Slaln2p Phono <br /> Tenant MaIIAdOresa Clry SlalalZlp Plhona <br /> /�., u p5 <br /> E�.;�G� ��� � (G TV)c • 1 ���� ��fii lV�= �� ���rzi� �S�7�P�ione <br /> �-��1�a�P �!� �° <br /> Slale Licur�se Numbnr Conlract Price of Work <br /> ��,� l� �m, I� <br /> Propo ec�U e o Bullding Contact person (Plan Raview) <br /> Deccriptlo of Work lo Oe nc: ��_�U(�'ri �(%� �/V1�U(� � ,1 CPT ' <br /> � � � <br /> I <br /> NOTE: �IRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> Bi IN RACEWAYS, MC OR AC CA6LE. <br /> CITY OF C-V�NETT LOCAL SALES TA%CODE IS 3106 <br /> I horuby r.ndify th.nt I hnw rr+ed nnd Axnmined fhls appl;ca�ion and know fho samo fo ho truo nnd � <br /> r.ennr.t. Atf p�uvi:;ons ollaws emJ oNine�nces govarrun, fh�s rypo ol�rork�W110o comp/orou �I 003 - I 3 <br /> whethnr spocitiod horom ornoL Tho�rontln.o ol o pormyt doos nof omsumB fo giw aufhonty fo <br /> vfoh�fo ofconnlllhc provisions c/nny alherstnfa orlocollaw�gu/6fing co05VuctiOq o�th0 <br /> poAorn�nnco ol conslrucfion. Thnf 1 am aNhorizad by fhe owner oJ fhis proporty fo podOrm Ihc <br /> wurk lnr N�hich application is mado and 1 compry with!ho Sfo(o Controctors Lew 1 p.D RCW and <br /> ?9G200 W C. <br /> , �f�-S/f� <br /> i ia oa e <br /> i <br /> Tt10y� JI21SJ]l3 9\I4I.1 SFd 60�FT OTOi.%So/CO <br />