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ELECTRICAL P�RMIT APPLICA'i ION <br /> CITY OF EVERETT' PERMI7 SERWICES .a _��� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 r- <br /> 425-25?-8810 - FAX 425-257-8857 -www.everettwa.org � 07o a- ftl� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> b� <br /> ��rY,b o,r o� fJ� S C �_���/ <br /> PROJECT DDRESS <br /> ��b • 3ag - <br /> C.Cu.rr.PC , � �Q•r�lloo a15� ��tis 5 Sk$ \� ,���i,Wl� ��IN�4 �410 <br /> Owne� h1aJ Address City Slale/Zip Phone <br /> Tenanl �7ailAddmss City State2ip Phonc <br /> �-I�S •335���s 4 <br /> Sr.ol-.orr„S� �:�t� ci �. �� ���c a:l °6, Sro�-�o+�ni �.� LiJr.l°t$1°I I <br /> Eleclricai Contraclor Mzil Address Ciry Slale2ip Phone <br /> SNo \'co �. 'L � IoP � � `-� q `'� . "a <br /> Stale License Number Conlract Price o(Work <br /> 5 �C 1�-- � ��t S �...�Dn.� _ <br /> Proposed Use of 6uilding Conlact Person (Plan Review) <br /> Uescription oF Work lo Be Done: �_C7C7 ' oZ C� '{� m� S �..t'V 1 CP. <br /> NOTE: WIRIPJG IN NON-GWELLINGS IS REQUIRED TO i FE�— <br /> B[ IN RACEWAYS, MC OR AC CABLE. <br /> s s . � <br /> CITY OF EVERETT LOCAL SALES TAX CODE�S 3105 <br /> 1 hereby certi(y tfiat 1 have read and examined Iliis applic�tion and know the sarne to be true and ��,1C, ,� - \C` � <br /> correcf. All proviswns ol la�vs and ordinances governing this type ol work�vill be complefed <br /> �vhefher speafied hr,-ein ornoL The granfing oI a permd does nof presume to give authonty to <br /> violafe or cancel7he pfovisions o/any ofher sfafe or Incal law regulatin�construcfion or the <br /> performance oI cort56uc6on. That I anr authorized by�he owner o(tfus properiy to perfumi fhe <br /> �vork(or which�/fplication is made and I compl}�wifh fY,a State Contra.tors Law 18.27 RCW and <br /> zss.zoo vrac: l <br /> ,. <br /> f, _ _---�---- l �� C7 _ <br /> Siynature D. e ' <br />