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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 B AM TO 4 PM <br /> Z �i'0 z- M 1�LV � I�! /�V1= �f� <br /> PROJECT ADDRESS <br /> ; o�cv � v� �-w co�,rn��o� � �L� <br /> Owner Mail Address City State2ip Phone <br /> Tenant Mail Address City Slate/Zip Phone <br /> /tf � c, ��s 1 Y G Li_L 1�l L <br /> Eleclrical Coniractor Mail Address Ciry State2ip Phone <br /> /VI L C� 1 (v' l C 0�1 5 /`i •T — <br /> Slate License Numher CoNrecl Prico o(Work <br /> � �� <br /> Proposed Use ot Building Conlacl Person (Plan Review) <br /> Description of Work lo�e Done: W 1 (L I� �%�w �r� z�� /��� �� �7 <br /> _ I <br /> NOTE: W IRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CADLE. �� <br /> .7� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriily thaf 1 have read and exarnined lhis applicafion and kno�v the same to be tn�e and <br /> cnnecL All pmvi,ions ollaws and orAinances governing fhis type o�work will be complefed <br /> whefher sper.ilied herein or noL The granfing ol a permA does nol/�resurne to give aufhonty fo <br /> v�olafe or cance/fhe provisions ol any other stafe or local law mgu afing consfruclron or the <br /> pr.�lomrance o/const�uc(ion. Thaf 1 am aufhorized by the avne�ol lhis properfy fo peAorm the <br /> work lor which applicafion is made and I compty with fhe Slafe Confractors Law 18.27 RCW anA <br /> 296100 WAC. <br /> ,/ ' � _ <br /> � ' ;, / 7 - 11 - p <br /> � Sig aWre �--- Date <br /> U��� ,� �� <br />