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� <br /> ! ELECT(�ICAL PERMiT Ar'PLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-88.`7 – v�n+M�.everettvda.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ,��! �� J_C'j <br /> I_ — <br /> � <br /> / `l/ �> r;'� iT ,4� <br /> PROJECT ADDRESS <br /> yzs-� � T_ <br /> il�l��TI- ��a✓l�s� 1 yIS I�YT dt�i � ������ i�//� t�Z�l 3ic <br /> Otvner IAail AdAress Ciry StateiZip Phone <br /> Tcnant 1.1ai1 Address Ciry State/Zip P�one <br /> [leclrical ConUactor Mail Addmss City State2ip Phone <br /> Slate License Num6er Contract Price o(Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> I Descriptien of Work to Be Done: �/ l/i�P 1�Y U�^� UI U1.� S L � �l-r (.J -- // -lJ�'�- l <br /> I I ✓� �%ICI�tC� � � �T �P I� �` �l ���75 /•'1 GC/�rS(� . _ <br /> NOTE: W IRING IN NON-DN/ELLINGS IS REQUIRED TO FEE <br /> � BE IN RACEWAYS, MC OR AC CABLE. <br /> � CITY Of EVERETT LOCAL SALES TAX CODE I.�i 3105 <br /> 1 hereby cerf;ly tLat!ha�-a���d and ez�ndned Ihis application and knou�the same to be true and <br /> �I conecL l+ll provisions allaivs and ordinances govermng Ihis fype o/tvork�vill be contpleted <br /> �vhefher specilied herein or noL The g�antinc�ol a pemut does nof reswne to c�ive aufhonty to <br /> �I ��iolate or cancel fhe provisions oI any other sfate or local la�v reguPfing consirucfion or f��� <br /> I peAorrnance oI consfruction. Thaf 1 am aufhorized Gy fhe owner o/this proped}�to perlorrn fhe <br /> . ;:oik for which applicafion is rnade and I comply n�ifh the Stale Contracfors Law 18.27 RCW and <br /> �� 296.200 WAC. <br /> I <br /> �, f <br /> `;�._'�,�„ �� ,r�� �l� l o�' �' _ l <br /> � <br /> ign ure p Da (::-� <br /> I ✓ (,) � <br />