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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 98201 <br /> 425-257-5810 - FAY, 425-257-8�57 - �•:^:✓:^;.ev�rethva.or� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> _ —— — — �i <br /> � <br /> � � I <br /> �� fl� f� rl �-�,�� <br /> PROJECT ADDRESS <br /> i'�1� � ��;��� r ss -��i� ���-�-f� ���� --�r �✓.� %���� �z=zr�-� =� <br /> � <br /> (�vmcr � F.failAddress Cdy Stale,Lip P�ione � <br /> Tenanl Mail Address Cdy State=2in Phor^ <br /> r p <br /> )C„'/J t_,C_ <br /> Electrical Contractor Mail Address Ciry State�Gp Phone <br /> Stale License Num6er Contracl Price of Work <br /> `� ��� <br /> Pruposed Use of Buildinc7 Contact Person (Plan Reaiew) <br /> �l�� TF'lc..�� <br /> Description ot Work lo Bc Done: 1 �I�E-G,- C H�{"��7� �'L-i J <br /> I <br /> NO'fE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE I <br /> I BE IN RAC[WAYFi, MC OR AC CABLE. � <br /> � ' I <br /> i <br /> �, CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> � �G'S����� U ' 1 �� <br /> I herebvi certity fhar�havc read and exarnined fhis apF�����tion and kno�v the same to be Mue and � <br /> correcl Allp�ovisions o/la�vs and orAinances�evemmg this f��pe o/u'ork�vill ne completed <br /> � �vhc(1 ter specilieJ herein or noL The grantin�o/a pennrt does not presume fo give authonty lo <br /> i violatc or cancel fhe pro��isions ol any olher sfale or local In�v re�ulating construction er the <br /> I peiior�zia�vice o)construcfion. rhat I am aufhorized by the o�vner o/flns propertv fo per(orm fhe <br /> � �ti�ork for�vhich applicafion is made and I corn��(y�vitF fhe Stafe Confractors La�r 18.27 RCW and � <br /> � 296.20011'AC. <br /> G�'�i ' �- , � <br /> ' ,2� � C% � C ��� <br /> Sign ic Date <br /> � F- � ,`il, � l �l � <br /> . <br />