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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - F/aX 425-257-8857—www.everettwa.org <br /> G�U �, � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ` d �06-Q <br /> 7 � . <br /> � f � � �/7rS l� � F �J fvt. <br /> � <br /> PROJECT ADDRESS <br /> � I,I�f, <br /> Cc� �����n ��ev ��l ;a � ��cde�� C(�/f �/;�5 - 3 �7-�y� � <br /> Owner Mail Address City Slale2ip Phone <br /> Tenant Mail Address City Stale/Zip Phone <br /> c�d- � /����f-,, tCad�,;,� a� �IF�f�r��� L�t� Il(�� r� c.J��. �Go���y-�;� <br /> EleC�rical Conlraclor � Mail dress City State/Zip Phone <br /> CS/�T(s/� 9�� 1�� � �5�.°� <br /> Slala License Number Contract Price of Work <br /> Proposed Use of Building Conlact Person (F�an Review) <br /> Descriplion of Work lu�c Dona �Ji (L i 1 % C� J l L4� ��.Y�l�� <br /> NOTE: WIRING IIJ NnN•DWE�LINGS !S REQUIRED TO FEE <br /> BE IN RACEWaYS, MC OR AG CABLE. <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ���L.� _��j <br /> 1 hereby cenily fhaf 1 have wad and ext�mined tliis•{pplicalion and kno�r fhe same to be trua t�nd <br /> correcL All provisions of la�vs and ordinances goveming this fype o(work�rill be cornpleted <br /> n�hether specified herein or noL The granting o(a pennrt does no( resume fo give aufhonty to <br /> violafe or cancel tho provisions o(arq�other sfate or local law re�uPting construchon or tlie <br /> performance of construction. Thaf I am aufhonzed by the o�rner ol this property to perlomi the <br /> rvork Ior�vhich applicafion is made and 1 comply uifh fhe Stafe Conlracfors Lau� 18.27 RCIN and <br /> 296.200 WAC. � <br /> � �����.���� vv� � -��-�'F <br /> s�n��au�e uaie <br />