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• – // —� <br /> ELECT4ICAL PERMIT APPLICATION <br /> CITY OF EVEE2ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi, WA 98201 �n <br /> 425-257-8810 - FAX 425-257-8857–www.everettwa.org '�(/ <br /> APPLiCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> I�� ( S E (�ve re � I`�� l�� g��O`� <br /> PROJECT ADDRESS <br /> ��e�� <br /> � � er ' r su� /3 5/� .9/ � ST sF .�o ��M�s� /tilL( 9�oi%� yob - �a�3 <br /> OWn2f� MailAddress City State/Zip Phone <br /> Tenant Mail Address Ciry State2ip Phone <br /> ) �'�,.rob� <br /> �/afit5n,n Y�a��r�r_ y���i, �,�rA�,Gl Y'7e.nf�,��i.,�r_ `)� �'0�13 .73:-87doL <br /> ElecGi�alConlracto� A1ailAddress Cil,� Slaie2ip Phonn <br /> �1ARAsET97�� � �vs �� , <br /> State License Number Contra 1 Price of Work <br /> fP.sc�+e,m1�i, � IPsi�Qe/lces ��- �i,��+so., ��Z)3�'S��F�a� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: C ��-� c. �o �/_� <br /> l <br /> ,/Q'�,i-S <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � ��� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ce�tify that I have read and examined Ihis appticatiai and know the same to be true and <br /> correct. All provisions o(laws and ordinances govemm�fhis type ol�vork will be completed � <br /> whefher specilied herein or not The granting of a pemut does not presume to give authorit}�to <br /> violate or cancel lhe provisions o(any other sfate or local law regulafing consfruchon or the ^ <br /> pe�lormance o(construcfion. Thaf 1 arn auN�onzed by the owner o(fhis property to peAomi fhe � ,,, � �/ � <br /> work lor which applicafion is made and 1 comply with fhe Slate Contractors La�v 18.27 RC W and �)�'�, / / <br /> 296.200 WAC. J.t!/��� <br /> , v/o�v � <br /> SiqnaWre Date <br /> .f ct�c�l-c5 9 <br /> ; <br /> 4 <br />