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ELECTRICAL pERMIT APPLICATIt)N <br /> CITY OF EV�RFTT PERMIT SERl�!�ES ���6-ld <br /> 3200 CEDAR STREET, EVERETT, WA 98201 C ��-��a(� <br /> 425-257-8810 - FPX 425-257-8857 -www.everettwa.org �� <br /> APPLICATION&ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �`�t"���r >>l�l Y � �(/c� . (/7 /Li�� J���C� � <br /> PR�OJ CT DDRESS <br /> �' <br /> �/Z J ; <br /> �/ „ - �% <br /> l ,111 ' � �� �1YC✓� �/���"� o'�'�`11.L �L���y�L�� ��� � / ����� �fI <br /> Owner �dail Ad';� Clty � Stale2lp Phone <br /> �ienant Mail„ddrsss ���Y <br /> g���p Phono <br /> Electrical Conlraclor Mail Address City State/Zip Phone <br /> Slate License Number Contracl Frice of Work <br /> Pmposed Use ot Buiiding Contacl Ferson (Pian Review) � <br /> i/� <br /> Descriplion o(Work to Bo Dono: �,��_,{7�r/9'V�l.� ���� �'�����`�l� <br /> �� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACE�lJ.4YS, MC OR AC CABLc. <br /> CITY OF EYERETT LOCAL SALES 7AX CODE IS 3105 <br /> 1 hereby certi/y fhaf 1 ha�•o raad and examined fhis applicafion end know fhe same fo 6e fr�e and I� / <br /> correc;. All provislons ollaws and onfinances goveming fhis type ol work will be completed � l i <br /> whether specified he�ein or not The granling o(a pormd does nof prosume to glve authonty to D � <br /> violafo or cancel tho provisions of any other stale or local la�v regulsting consWcfion or tho <br /> per!omiance of construction. That 1 am aulhonzed by fhe owner o/fhls propedy fo pedonn fhe <br /> woi lor which appltcaticn(s mado and 1 comply with Iho State Confracfors Lew 18.27 RCW and �i' <br /> ;96.20G 1NAC. / `� <br /> ./! �l_.I�" ` 0. I r� � �,i,-f. � _L r _. (�C1��i� <br /> —7 Signature � Dale <br />