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ELECTRICAL PERMIT APPLICATION <br /> CITY OF �VERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ( � �L L����C P�('� ��'� �v e <br /> PROJECT ADDRF.SS <br /> � w, �c 1 217( - 7 `I � � C�`!' `� <br /> Cit Stale/Zip Phone <br /> Owner Mail Addross Y <br /> ��f 7L�c i E3 � � I?�cl«1-�< Ik,- t,.l� `-17S- 71Y9-/dS� <br /> Tenanl Idail Address ���Y <br /> Stale2lp Phone <br /> � ���0 qc4��3 <br /> / �� y�c.� tf <br /> �/�.�L]�.'+`J L'�t r tv', «.1 C'v( t C (_����-1 ,.,.� Phone <br /> Mail Address Ciry State2ip <br /> [leclnc,.l Contr�ctor ��L� "_3`j���7 � y <br /> � <br /> �C1�1 � SL' �"� �� 1 `� 7 � � rl_ (� � — <br /> Contracl Prica of Work <br /> Slale License Number <br /> `T-�A, c�_i �n � (P 1 <br /> � ��-� '�" � � � Conlacl Person (Plan Review) <br /> Proposed Use af 6 ilding <br /> vSc (� 7� =,1uor,-..n <br /> Descripliono(Worklo6eDono: / L-��t�Jl•.� u�'� �-k�� ��fL--P'�--� �` <br /> --���='' �- <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> DE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> i hereby cartily thal I have read and examined this applicalion and know tlie sarne to be frue and <br /> correct. All piovisions of larvs mid ordumnces governmg Ihis lype of�rork will be.conrplefed <br /> rvhefher speciGed hemin or,noL The gianfing ol a Pe�,�;ii does nof �iesume fo gi��e authonty to <br /> violale or cancel fhe I�rovisrons olany other sfa��'er local law regu�afmg consfruc6on or fhe <br /> perlomwnce o/constniction. That I arn nufhoiized b)'the o�rner o�this properiy to perform fhe <br /> nork lor�vhich apPlication is nmde and 1 comply n'ifh fi�e State Contracfois La�v 18.27 RCW and <br /> zss.2oownc. �/ C , / _� UL� <br /> �� �� � 7 <br /> j' � � � y� � � <br /> ,� ,, �� - � < — <br /> �;s��„�u�� oa�e <br />