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4. � . <br /> ,��• _ <br />��'Y ELECTRICAL PERMIT �PPLIGAl'ION <br />��;- CITY OF EVERETT P�RMIT SERVICES <br />�� I 3200 CEDAR STREET, EVERETT, VVA 98201 <br />�j i 42:-257-8810 - FAX 425-257-8857 -www.everettvva.org g � � p -!�J <br /> I APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT& CREDIT CARDS ARE NOT ACCEPTED ' <br />� � <br />, M <br />,x , � �� � �^I- -�-- <br /> '� U � � il/ I�y <br /> ,..i <br /> I PROJECT ADDRESS � � '"' <br /> 3��� (Z_-� � <br /> !L !� v� �1.�v5c�=✓ /�l%Jl�' ,�C�o"G // l'�';�" /��� C�7Ci — (�Z'� <br /> l� <br /> Owne� Mail Address Cily State/Zip Phone <br /> Tenant �dail Address City State/Zip Phone <br /> � � �1 I Pr,� �d f� � .�.� � <br /> ��:�M antit e l � � ( ��5'i l� V���i e (di �Q��� l� /�� <br /> Eleclrical Cont�actor Maii Address City State/Zip Phone <br /> /� 1 <br /> tJ 1 v�. 11�a�r g 7 S� ,�� <br /> Stale License Number Conlract rice oi Work <br /> Proposed Use of Buildina Contact Person (Plan Review) <br /> �— / <br /> Description of Work to 6e Done: �!l ' „�i/ (-� E <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACcWAYS, �4C OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES'fAX CODE IS 3105 <br /> i hereby certi/y that 1 have read and examined(his applicafion and know the same to be true and <br /> correct All provisions of laws ano ordi ances govemmg this fype of work will be completed <br /> whether spealied herein or not. The ranting o(a permrt does not presume to give authority to <br /> violafe or cancel the provisions ol ry other state or local law regulafing consfruction or the <br /> peAormance of constructio . T /am authorized by the o�vner ol fhis property to peAorm the <br /> work Ior which applicatio is de and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 INAC. _ <br /> �� � Gr � C <br /> Sign re Date <br /> ;� i;�iJ3� -d �U <br /> � <br /> �k: <br /> ' 4 � <br />�p v� ": <br />^�"R�yo'+�.... � <br /> � : <br /> ��:. <br /> - '� <br />