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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 /> _ 'J9 2 �� ��',�'A�� iy�✓ <br /> PROJECT ADDF:ESS <br /> M,Qf�"7 ��l�.7G^ //�C�)/ /—/f%r^Ar�iCi✓ /_'Vrlv!'7"� rV{� <br /> Owner ldail Address City Slale/Zip Phone <br /> Tenan� Mail Add;ess Cily State2ip Phone <br /> =,� ��rc�rir ;3/20 G!./�i�r/��uyr- �.,������ �i�,� 9�zo8 �5.3-ir6y5 <br /> EI���trica�Conlractor Mall Address City State/Zip Phone <br /> J� ��� �-.� ��� �i�/ 1) <br /> Slate license Number �y , � Conlrecl Prico 01 Work <br /> � <br /> G '/��'/-JG- ' <br /> Proposed Use qF uilding Conlacl Person (Plan Review) <br /> Description of WorY,lo Dc Donu: /'f�C� �Li� /" A,(��� ''� ���� �,Q/��E' <br /> NOT[: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> E3E IN RACEWAYS, �v1C OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily fhaf 1 ha��e reaAand examinod fhis ap��licatiun and kno�v Ihe same to be frue and L L'� ��� � �� <br /> cormct. All piovisions ollaws and ordinances gorernmg fhis fypc ol work will6e compleled <br /> whefher speci(ied herein or not The granfing of a pennd dues not presume to gire aufhority fo <br /> violafe or cancel the provisions olany other sfafe or(ocal law regulefing construcGon or fhe <br /> performanr,e ol consfnicfion. That 1 am eufhonzed by the o�aner oI this propeRy to perform the <br /> work lor which appNcafion is made anAl comply with the Sfate ConVactors Law 18.27 RCIN and <br /> 29G.200 N'AC. <br /> ; , � �� ����D�" <br /> - //S�at r�i e�—��L Uate <br />