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� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CI7'Y OF EVERETT P�RMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org � ` �a /.Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM E ���_��y <br /> I�I� I��W�`� f�C� . _ <br /> PROJECT ADDRESS � <br /> ;��- 9�9 <br /> ���1 _.�1�/1 l�l� }��w,'lt f��- #G�� �1U��1�no �/� 9�'a�r ��o <br /> Owner Mad Address Cily Stalellip Phone <br /> �ir�k�„� ��� p;�z��� �f�cw���- � ��e�L� l.1/� I�Sd�( a06-q79-y9 d <br /> Tenan� Ma�lAddress Cdy State2�p -'. . � Phone <br /> �✓C2—nP�— <br /> [leclrical Conlractor t�taii Ada�ess c�ry staieiz�p Phone <br /> /L ���, O O <br /> State License Number Conlract Price oi Work � � � <br /> Pi��zpr�� P>c(aa�►S�an Bf�IT �/��1 <br /> Proposed Use o(�uilding Conlacl Person (Plan Review) <br /> � j']�p <br /> Syuarc Poolage pf residential new construction,iemodel or addAion) <br /> �� f �r/� <br /> Description of VJork to�e Done __p_dW�� � 1'�� "✓CI�� �'L----- <br /> r <br /> NOTC. WIRING IN NON-0WELUNGS IS R[QUIRED TO ��� <br /> 131� IN RACEWAYS, MC OR !1C C�DLE . �O� <br /> CI:Y OF [VERETT LOCAL SALES TAX CODE IS 3105 - - <br /> 1 hmcby certily(haf I Ic�ve read and exarninr.d fhis applrcalion and knaw Ihe sanm lo be(n�e and ' / <br /> conecf. All provisions o/la��,�s and or�finances govr.ming fDis(ype o/woik�rdl Ge cornplr.tuA F f 'ZO �— Q� •.t. <br /> ivhefhcr spr.cr(icd I�crr.nr or nuL l/re granli��g ol a pertnrt dor.s nof vesumr, lo prve autfrnnty lo (r- 1 <br /> violnfr. orcancel lhr, provisions ol any olhr.r s(ale orlocal law rorJuldiny canshuchon orlhe <br /> performanr.e o/conshucGon. Thal!ant aulhorizr,d by!hr, o�vn��r ol flus noPeMy lo pedorm fhe <br /> �vork(nr wlrich applica(ion is made anJ 1 comply�viih fhe Stafe Contracfors L aw 18.27 RCW mid <br /> 29G 200 WAC. <br /> 1�s�'�a <br /> _ _ ___s� �i„�c--- ---- ---u,i� -- — <br />