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ELECTRIGAL P'�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettH�a.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � 31 (r �icv� i � �.?.'r -��l� �� . <br /> PROJECTADDRESS <br /> �C�n. "[7cE-j N�l ��� C'L�«�'����� lUt- ���ci+4KL�: ( �!' Gl�/} ���`�� <br /> Owner Mail Address Clty State/Zip Phone <br /> Tenanl Mail Address Cily Slate/Zip Phoro <br /> 3ti� <br /> 'h rt s �i<<�� � '� 'a�x ���z ��c��s�� �r� w�� q���� ���y. ,3�i <br /> Clectrical Conlraclor hlail Address City Slate2i� Phone <br /> �Sc�:lz ,�� e��� �a � _ � �3 Sc�c�� e ��� <br /> S�o License Number Co�lracl Price ot Work <br /> /O?'+'L� <br /> Proposed Usu o(Building Contacl Person (Plan Reeiew) <br /> .i �1(,�i�+'�'- <br /> � � �t?riJ••� �l:\ <br /> Descriplion of Work�o�e Done: , 7iT �D3if • — -- <br /> NOTE: W IRING IN NON-DW ELLINGS IS RE�UIRED TO FEE— <br /> BE IN RACEWAYS, MC OP,AC CABLE. <br /> i CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � � � <br /> 1 he�eby certily that 1 ha��e reaJ nnd exarnined fhis applicafion.ind kno�v the same to bo Irue and 1– ' �– v <br /> currect. All p�awsions ol laws and ordinances goveming fhis fype ol�rork roilf be complefe� L/ <br /> �vhether spealicd hcrein or noL The�ranlin�of a pernuf does nel rosume fo give authority fo I <br /> violate or cancel fhe provisions o(any elher stafe orlocallmv reguPfing construc6en or�he <br /> pe�forrnnnce o(consfruction. That 1 am eulhaized b}�the owner o(fhis property fo pe�fonn fhe <br /> ' �vork!or which applir,ation is mado and!comply�rith fhe State Confracfors Lau 18.27 RCW and <br /> � 29G.200lNAC. <br /> i <br /> s��'� (' �_-:-�-�.� � - 1 Z - /� <br /> Signaluro �ate <br />