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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� � <br />.. _ �-<<..,, <br />PROJECT ADDRESS <br />�� ,'�,; ; i-1 � ,� ; �, L,' <br />Owner Nl�il Address <br />.� r� - <br />V C�k l•� i.:�{- l,� \ U �:, l-e0 lv4 ����� �S <br />City Slale2ip Phone <br />;LuUJ� <br />Tenant h1ai1 Address Cily Sfate2ip Phone <br />(� � �. ;�.c--�,� — ��c <<�, e I � Y � � ot� {� C'� �cx ��4- U.1a(,;. ��ev C�c, `����'7 <br />Eleclrical Contraclor hlail Address �` 11 z"c,Y 2 b S�ate2ip 4ZS• 3S�h0 i 5'? Z <br />C li3 z4- <br />6�V r7ln P � �1'b� <br />Stato License Number CoNract Prico of Work <br />11 �i l'�I ci ,�� , <, <br />Propo ed Use o( Duildinq -- � <br />Descriplion o� Work �o De Done: <br />c�ti, � - 1� l� . <br />�jC. T 1A JU7��-�.- <br />1 �c:.���ct ��� <br />NOT[: W IRING IN NON•DW ELLINGS IS REQUIRED TO <br />QE IN RAC[WAYS, MC OR AC CABLE. <br />z: <br />Conlact Person (Plan Review) <br />�,�s ��..5 �F � <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! hereby ceriil}� (h��f 1 have read aind ea.�mined Ihis applicafion and knon� the sanle to be frue and <br />cone�t AI! provisions ollaws and erdinances gove�7nng fhrs t� pe ol �rork n�ill be cornpleted <br />�rhelher spea.`ieA herein or nol. The pran(ing ol a perrtuf does net �resume fo gire aufhonfy fo <br />violate or cancel the �iovisicns ol any efher sfafe orlocal la�r regulafing construcfion or fhe <br />pe�fonnance ol cons�rucfion. That 1 am c�u0io�ized by fhe ou�ner o/ Ihis pmperty fo perlonn fhe <br />�vah lor �tiAich applicafion is made and 1 comply nilh the Sfate Cenfiacfois Lan� 18.27 RCll�and <br />?9G.200 WAC. <br />� i� l lc <br />� � _ J • <br />� �;-�� r , ; c' 4i�����, (,� - `� - � ��' � ( <br />FEE <br />����'I� `.Ol`� <br />