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� <br /> ELECTRii:AL P�ERMIT APPLICATION <br /> CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVcRETT, WN 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everethva.org ;� ._� u �-U 7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 F'M - 6EBIT& CREDIT CARDS ARE NOT ACCEPTE�7 <br />� �� �O -- , �dc� <br /> �G � � �n/�� /�,- _ r��� <br /> �PROJECTADDRESS ��— 7 <br /> 3�c ��-���� <br /> --r,_��� y� �- _� S��•s�� � � ����o s�h . 9fl�s-r�- <br /> (�wner �— �dail Pddress City State/Zip Phone <br /> 3G�' 3�� .��-Z <br /> Tenant 7%i+) A1ail Address City � / 51a1e/Zip hone <br /> U��J�I�iSci/ � r-��. ��rc_ - fj�l�it�7�-�iz .3�0-�l� 57--7,� <br /> /', / /' � / 3�0 3�7-b 7�� <br /> C�GrY � � , P��S�cC1C ! Q��ano Tsa/4 ��C/ . — <br /> b <br /> Eleclrical C traclor Mail Address City SlalelZip Phone <br /> �� ��� , ��� <br /> Slale License Number ConUac Price ef Work <br /> �� �L <br /> �C/J/� / JC">O/ l <br /> ��ropose Use of Building Contacl Pcrson (Plan Review) <br /> Description o(Work to Be Done: ��^(��S 7'��i' t' LJ+«) F✓ //' /[/Le� %�/C-�4� U- <br /> 7� ��� /��t 'r'i' �l� ��^ /�lf �Cnf� <br /> ` , , <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> SE IN RACEWAYS, MC OR AC CABLE. �)� — <br /> 7 <br /> CITY OF EVE/2ETT LOCAL SALES TAX CODE IS 3105 <br /> I 1 hereby certi�y that 1 have read and examin�d fhis application and know thc same to be frue and <br /> conecL All provisions ollaws and o�dinances govemmg fhis type ol worh�will be r,omplz(ed <br /> whefher spera6ed herein or not The c�ranfing o/a pemut does not resume to give authonty to <br /> violafe or ca�icel fhe provisions olany other state orlocallaw re�uPting conshucfion or the <br /> peAormance o(constructron. That 1 am authorized by the owner o(this propeRy to perlorm the <br /> �vork for which applicafion is made and 1 comply�vifh the Slafe Confractors Law 78.27 RCW and <br /> 296.200 WAC'. <br /> �} �� %�. ��`z. `/`�-SrG`�S <br /> iqnaly e Date <br /> / ' <br /> ���� .�L'�/ ��n � <br />