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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 ��EDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-9857 -wwv�'.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM E AM TO 4 PM <br /> �' '�� ' F� � / 1 �C ': � it ! i� U� L �� � IL CT � <br /> i <br /> P uJECT ADDRESS <br /> J�� �=��r' R k l ,_� rn �c ��-- <br /> Owner t.lail A dress City State/Zip Phone <br /> Tenant 1.1ai1 Address Ciry Slate/Zip Phone <br /> �o ,a y n, ui< ��%c c� �I�EE Dw' �� <br /> ji i i ' r=� V�1 r �1�`L< F2t/ � � - c iiJ �l� �racren ����+ �ik,a � c Y'�� � <br /> [lectri�al ConUaclor Mail Address Ciry � State/Zip Phone <br /> -, � � GG�O o0 <br /> /i h ;� r{ n,;�� �� � (r �' J � — <br /> Slate Lir,ense Numbcr Conlract Price of VJorY. <br /> ,� <br /> h � :� � D� �� � ii� i <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Description oi Work to Be Done: �/� ( /�l� � t I�l c i E 12 �t 5 F!' c�i r" �Til �0 0 /a iri � <br /> Ia D � <� �l . r.J / i l2 � v � r s <br /> �--- <br /> NOTE: WIRIIJG IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily thaf 1 have read and examined this ap!?�ication and kno�v fhe same fo be true and <br /> correcf. All provisions ol/aws anA ordinances yovemma Ihis type o!u�erk will be complefed C�1 11.�.,v� <br /> whefher specified herein or noL The gmnfing o/a perrnrt does not presurne fo 9ive authority fo L. <br /> �-iolafe or canccl fhe p�ovisions o/any olher state or locallaw�egulatin�consfruction or the <br /> pc-r(omtance o(consfruction. That I am autho�ized by fhe owner o(this property to perlorm the <br /> �rork to�which applicalion is made and I comply wifh fhe State Confractors La�v 10.27 RCW and <br /> 296200 WAC. ., <br /> I . � � � L�/ , /� / �— /—L' 7 <br /> — `--s:gn:�tw�: . U�te � <br /> � I <br />