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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org � -���p� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �t��C�'S� �II�C� <br /> PROJ ECT ADDRESS <br /> %/f�c�- t:��.✓��%.:✓ Sc�c� �'' [;-� s f �� �..�,��`'1 '�'.� 5- .�2 5,z - 8'l�/ <br /> OwnCr A1ail Address Cily SlaleiZip Phon� <br /> Tenant A7ail Addross City State/Zip Phonc <br /> ���w��k �����',�,� ir �'o- r�. �,�� �t,�r« �/�. g�����oa.�� <br /> EIOCUieal ConlroCtof Ivlail Address City StalelZip Phone <br /> ��U/b��D a''8�T G `g'✓,�O� .�`6Gcy <br /> Slala license Number Contr�ct Price of Work <br /> /� , ��[�e/.G� 7 '7 <br /> Il.�Sf�[�.-r C� dr��+ -' � Z�' -�J � / <br /> Proposed Use o(Building CoNacl Person (Plan Review) <br /> Descriplion of Work l0 6c Donc: _��S�y�� .S�lG4fq t C�"�J^jp;�,(r,r.� � GU✓A� � �D ir.7�io�,��� <br /> . i <br /> � ��a w'� �n d. (,lJi�h"�� <br /> � <br /> NOTE: WIRING IN NO�d-DWELLINGS IS REQUIRED TO f-EE <br /> DE IN RACEVVAYS, MC QR AC CABLE. <br /> CITY OF EVERETT LOCP,L SALES TAX CODE IS 3105 <br /> 1 here6y certi(y Ihat 1 have read und exarnined Ihis applicntion ond know fhe sante to be true and <br /> corr�ct. .411 pruvisions o(la�rs and ordinances govemmg this t}�pe o/�roric will be cornpleted <br /> �vhefher specified herein or noL The c�ranfing oI a pernut aoes nof prosume to gi��o authonfy to <br /> violafe or cancel ff�e Provisions of any other state or local Inw rogulating cansWcfion or the <br /> performance of constnicfion. That I am authorized b}�fhe o���ner o/this property to perlonn the <br /> work(or which application is made and 1 cornpty wifh the Stafe Confmctors Laiv 18.27 RCIY and <br /> 296.ZOC tNAC. <br /> `� � � <br /> �-%���.fi`Gl/..��� BfZG d�Y <br /> signawre oate <br /> ��Cr�,� � �� <br /> OV <br />