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ELECTRICAL PERMIT APPLICATIC�IV <br /> CITY OF �VERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT', WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everetl�•�a.ora <br /> APPLICATIONS AR[ACCEPTED FROM 8 AM TO 4 PM <br /> � � � Z I I.�. . . /��r 1JI41( ( <br /> � <br /> PROJECT ADDRESS ' <br /> '�j. r-1'� � l _� ���" •i ` <br /> Owner Mail Hddress City Statu�Zip Phone <br /> Tenan� M17aA Address Cily Slete/Zip Phone <br /> � / � <br /> � �� _= �� �� �e C�. -c 1:��.? �C:C�K ,:( i� t�u�'=�f1 ( i_'-� /�`�-�<' `� %<=. 7,'C ��,C,. <br /> Elecltical Conlraclor M11ail Address City State/Zip Phons <br /> L� �' "'� �l : � ���j •�,� �?'? <br /> i <br /> Slate License Number � Contract Price of lNorY. <br /> \ <br /> ..�:,j. . _- <br /> Proposed Usc of Buildin{7 Conlact Person (Plan Reaiev:� <br /> Descrip�ior n�VJorF_fo F.n Duna: �� .��<�5 �� ��. .-1��1����� ����-��I� ,�1��� ( C , <br /> NOTE: W IRING IN NON-DVV[LLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �/ <br /> �i 1 hereby certily ff�af I 4ave read and exarnined fhis applicafion and knotv fhe same fo Ge true and �J��,(()— L��(p <br /> I correcL All provisions of la�rs and ortirnances c�ovemmg fhis fype of�t�ork nall be cornpleted <br /> u�helher speci6ed herein or noL The gran6ng ol a pennrt does not presimie to give aufhority to <br /> violate or cancel the provisions olany ofher state or local law re�ulating construclion or fhe <br /> pedonnance ol conslrucfion. That 1 r,m euthonzed by th�. onner o/Ihis property fo perfonn the <br /> �vork loi which application is m�de anAl compl�uilh the Stale Contiac(ors La�v 18.27 RCW and <br /> 296.'L00 INAC. <br /> I <br /> i . . � . ' . � , ' <br /> — S�qnaLuc . --_' U�le . <br />