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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.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ('� '�� d '�a <br /> C/00�- <br /> � ; � -; ,���� s �1�, , , � ; -4 � � �� � <br /> PROJECT ADDRESS - �,�� LkUj ;;� � r <br /> /'�-�c-� <br /> , <br /> llv—1,��7,—�.�t�� 7 � �7 'J �1 �-� �� �-,r C,�r�.W �� �'S�',� c-Y <br /> Ownot' Mail Address City State2ip Phone <br /> Teoant Maii Address City Slale/Zip Phone <br /> / /r�'/ ii�i <br /> �l i� :� <- �_ � �+r,�{\�i� ���� �/(�•�J j v ti✓:�'�� ; .✓c^ %fi��.2 c�F, `�5'3 c (��� <br /> Eleclric i Conirac�or Mail Address Clly Stale2ip Phone <br /> �.�,1,� , ., � <�, �. r vl � `� �c� �f �� vZ � / <br /> Slalo Lic nse Number Contrecl Price o(Work <br /> ��.,���� . <br /> Proposed Use of Buildin� Conlact�erson (Plan Review) <br /> / �— ' <br /> _• � � <br /> � <br /> Doscriplion o(Work to Do Dono: `� � � L� e_"� . �. <br /> �'�"r���� i. �,..1 /�J \✓ t�{��J i�� y4�� C' Ln (/� �. �� <br /> � �-( s/`� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> �� 3 �� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I I�ereby ceriily Ihat!have�ead nnd exnmined tHis applicafion and know tho samQ fo be true end 0 � ` '�� <br /> correct. All pravisions o!laws and ordirances c�ovemm�this type ol u�ork�vill Go complefed <br /> �vhe0ier spealied herein or noL The�rantinc�of n pernut does nof presumo fo give t+ufhonty to / � <br /> violate or cancel fhe/�rovisions ol any olher state or local la�v regu/ating construc(ion or the L <br /> performance o/consfruc(ion. That I arn authorized 6y the owner o(this property fo peAomi the <br /> �vork/or�vhich a�g�licafion is n:�de and I co�riply�vifh tho Sfafe Contractors Low 18.27 RCW and <br /> 29G.200 N'AG. <br /> � /, <br /> i �--� <br /> / i���� �� � < < �, ✓ <br /> �SignaWro Date �� � � ��� � � <br />