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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, W,� 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �y/�� ., l i <br /> � �f' � ( �����'LI � 1 1 �`� ����•(� j-� <br /> PROJ[CT ADDRESS <br /> . ' <br /> �( �;��-i l�.z <<��,� l (�� ( I T , � L���<<� ��� �� � �5 ��� <br /> nc� hlail Address I Cily State/Zip Phone <br /> a04,, �Cl�7 � 1 �( �; <br /> Tenanl �dail Nddmcs Cily Stafe2ip Phone <br /> � � — <br /> �clrical CoNractor r.taiil:ddre:,s . city 5tateiZip r'hono <br /> Slate License Numher Conirac!Price of Work <br /> Proposed Use o(Buildiny Contact Person (Plan Ree�iew) <br /> � r <br /> Descriplion of Work lo�e Done: ����% �f � �)� .�J�1 � �� ��`-(�(r� C ( (�� <br /> NOTE �A�IRWG IN NON-DWELLINGS IS REQUIRED TO f-[E � <br /> 13E IN RACEWAYS, MC OR AC GABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�105 � <br /> I 1 he�eby cciti/y fhaf l liave�ead�nd examined this application and kno�r fhe sanie fo be frue and �I U� U �y <br /> � corroct All provisions o!laws and orAinances governmg this fype o(�rork�vill bo complefed <br /> �vhefher sper,i(ied herein or noL The grantinc�o/a pernif does nol/vesume to give aufhonty to <br /> violate er cancel(he �rovisions o(any ofher sWfe or local lan•re9u a(ing construcfior�o�fhe <br /> peAormdnce o/cons�rucfion. That I am aufhoiized br fhe o�rner o/this property to perlonn fhe <br /> work for�vhich app(ication is madc and 1 cornply wi0i the Stafe Centractors Law f0.27 RCIN and <br /> 296.20C�WAC. � <br /> � ��� L <br /> „� � -� �-�c�.����_C. � v � " � - � � <br /> __-i���. �� <br /> ._ - .,i,nani�o oa�e <br />