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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 Z •- )I J�d <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org G /OD Z -p� I <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��3c�7 I�E�w� Pr� -�� � v � <br /> PROJECT ADDRESS / <br /> /` / a�G� /�/ <br /> fc'�'V`�/ /� rP I �38U7 J��rv�Mer� tV�i�eT�" w.9 g�Z�! <br /> Owner tdail�ddress Cily State/Zip Phone <br /> �(Z S, 2SZ .3q'� <br /> Tenant Mail Address Ciry SlatelZlp Phone <br /> c,�, ��� {�I� s�2y.�Y7�'�9�'e .N� �o/���� �✓ � <br /> Eler.irical Con �c�or FAail Address f.it� SlalelZ�p ��'f�, ,� <br /> v�s, ,��9- �'3�� <br /> ��� ��y.�� G ��� ���� - <br /> S�ale License IJu�iiber Contract r�WorH <br /> -� �� <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Descriplion of Work lo De Done: ��(y _��.���(�("�('1� / I� ✓yJ/ P `� � <br /> NOIL= N,�IRIIJG W tJON-DW[LLIIvGS IS RE(]UIRED TO FEE <br /> 6E IN f:ACEWAI'S, ��iC OR AC CFl[3LF. <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I <br /> I 1 bereby certily thal 1 have read anA exarnined fhis applir.ation and kno�v the sarnc fo be true and <br /> correcL All provisions o(laws and ordinnnces governmg fhis type ol aork�a�ill be completed <br /> Iwhe(her specilied heroin ar nnL Thc grantinr�o!a pernut does nof nesume fo g;ve aufhonty fo <br /> violafe er cancel(he provisions o/any ether stafe er/ocal la�r requlafing consf�uction or tho <br /> performance o/consfruc6on. Tha(1 arn authorized b��fhe o�rnei o/this propert}�fo pe�fom�the r � <br /> �vortc lor rvhich applicalicn�s made and I conrply n�itli the Sfafe Contracfors Law f0.27 RCW and . . '� <br /> 296.20/ WAC. � " <br /> ' �� ���. 2- ll_ �� <br /> — sian.,wie - oa�� — <br /> - ---------- --- --- -� <br />