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ELECTRICAL PERMIT APPLICATION <br /> (;ITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETI�, WA 98201 <br /> 425-257-8810 - FAX A25-257-3857 —v�nvw.everettwa.org <br /> APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br /> 2 v o / ��-ff-t-v�u /�v,� <br /> PROJECT ADDRESS <br /> 3,55- oq <br /> GA1� �,L' $ W LH�-A 2001 MCc.vif� �}y� 9 � Zo3 �yts� — <br /> Owner Mal Address City SlafePip Phone <br /> TCnanl f.laill�ddiess City State2ip Phonc <br /> ���,r., �y_ �c.c�ita� � ca i,�L — -- <br /> Elcclric�l Con�rar,lor L1ail Address City S�afe/Zip Phone <br /> /�( �G iN c�0o 3 ,��' <br /> Slate License IJumber Contracl Price of Work <br /> Proposed Use af Buildiny Contad Person (Plan Review) <br /> Descriplion o�Work lo�c Done: /N S ! IT L 1... � �l- G(.�G 1 /t/L /�F-ArL/2-i <br /> l::ltAN_�0'�___�)(S/!i/N�_2 C_0 Al�l � I��Jj-1�—L,WV T_�CL_ <br /> NOTE: VJIRING IIJ NOIJ-DWELLINGS IS RE(JUIRf=D TO PEE <br /> f3E IN RACEbVAI'S, ��1C OR AC CAE3LG 9 <br /> s S o <br /> CI7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi(y thaf I 4ave read nnd examined fhis apNlicafion nnd kno�v Ihe samo fo be frce and <br /> cormct. A!1 provislans ollaws and ordinances,qovemmc�fhis t}�pe o/H•ork�rill be camplefed <br /> �vhefher speciheAherein or noL The granfinq ol a pernuf does nnt �rosume fo�ive au(horrty fo <br /> ��iolate or cancel the provisions olany other sfafe or local law re�ul�fing consfruchon or fhv <br /> perlorrriance ol cons(rucfion. That I am aufhunzed by tho owner ol this pr��orry ro���io�n u�� <br /> Evork for�rhich application is rnade anA I comply�v:th the Slate Con6ac(ors Law 78.27 RCIN and <br /> 296.200 l4'AC. ^ <br /> y" 3 'O � 1��� 1, I <br /> 1,� 7 <br /> �:�����?,��� �a,� -- - c <br /> -- — � <br />