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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 3 `a� �OO <br /> 425-257-8810 - FAX 425-257-3357 -www.everettwa.org �U��3� <br /> APPLICATIONS ARE ACCEPTED FROM 8 APA TO 4 PM � <br /> �� ?s r�.;l�t� a�� <br /> PROJECT ADDRESS <br /> �ere�r�n��nc. zo� -3�0 <br /> , , ; �c)?� Fus�-��k� `ju�k b�3 �euk�l-� W�4 9gi z 2 �935 <br /> Owner � Mail Address City Slate/Zip Phono <br /> Tenanl Mail Address Cily Stale2lp Phooe <br /> �l. �S �Iec.-���c 2U✓�l {� l��e� ��r��� ��/1GIlGJ�S �f/!a ��Fi�f „r�i�.1/i-l✓7Z <br /> Eloctrical Conlraclor Mail Address Cily Slate/Zip Phone <br /> 11/ 1C:�Sr_�( `)?,�4�C'_ .�.CY/ � <br /> Slate License Number Conlract Price of Work <br /> Proposed Use o(Building Conlacl Person (Plan Review) <br /> Doscription o(Work to Oo Done: ��1'� P ��IM�Y 11 X/ `i���� <br /> NOTE: W IRING IN NON-DV'JELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> l� <br /> I hereby certify that 1 have read and exarnined tliis applicalion ond kno�v the sarno to be 6ue�nd '��-'!,C'-' `� ( <br /> corrLcL All provisions ollaws and ordinancos goveming fhis type ol work will be completed �. <br /> �rhether specified heiein or noL The granfing e(a pernut does nof �resumo fo give authonty to <br /> violate or cancel Uio provisions ol any ofher sfato or local law regulafing consWction or tho <br /> perfonnance o/cons�niction. Thaf 1 am eufhonzed by fhe o�rncr o!fhis properiy fo pedonn the <br /> �vak!o �vhich a 1 c 7'ion is made ond 1 comply�vith fho Sfate Confractors Lr+w 18.27 RCW and <br /> 296. 0 WA <br /> ���%� �v!i.'t/� - Z�- �� <br /> 3 <br /> Sic7natwe Dato <br />