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ELECTRICAL PERMIT APP�.ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br />� 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 –www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM T04 PM 5 —) u "U <br /> / 5�c� M � aLF tf �� <br /> PROJECT ADDRESS �S Z <br /> '\ vz� = :, lsz� � � , r' 9d�� � yY� <br /> L'O�V i�1 � ~ A Slale/Zip Phone <br /> Owner <br /> A1ail Address ���Y <br /> Stale/Zip , ���.. P�tine <br /> Tenanl <br /> Wail Address ���Y -tt9D7't'{L �c <br /> � 11I / `' 1/ � AT/��.14 –ln I-� �1-�� ) ` 1�7�'� <br /> l `+�"1!L U�I7f�.� � (��/�1�� � �iI Phone <br /> Eleclricai Contraclor Matl P.ddress <br /> Cily StalelZip <br /> Conlract Price o(Work <br /> State License Nwnber <br /> L - <br /> s Conlacl Person (Plan Review) <br /> Proposed Use ol Ouilding <br /> Description of Work ta Be Done: <br /> /� � Ll![lLl� � FbIL L��1/'1�cG,'i'� Gu;NIeL� <br /> A�+ f J AA'f� — <br /> FEE <br /> NOTE: WIRING IN NON-DW[LLINGS IS REQUIR[D TO �� M1� <br /> BE IN RACEWAYS, MC OR AC CABLE. ,� <br /> � CITY OF EVEREIT LOCAL SALES TAX GODE IS 3105 <br /> co�rre tl All pro�isions of la vs and o�inances govetn�i�g tl�s��type opf�ork wl��be con�let d and <br /> I v'olate or�ance�he provi�sions o(areiy otlier�`stafe or loca�l�a v regulating�onshuetloa o�r�tl ety to <br /> perfomiance o�construchon. Thaf I am authonzed by Ihe o�vner o(fhis property to pedonn fhe <br /> 2C6k200 WAG a�P��cafion is mado and I compty�vilh the State Contracfors La�v 18.27 RCl1 and <br /> �/ � Iir' /�1�� �l2— G�Z— <br /> c� � ' <br /> Oa e <br /> ,/ SignaWre <br /> � U1�5-0�5 <br /> ��rl�u c ; Fry���u�1kL <br /> �`�L �1 ��- <br />