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—� <br /> 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 /> �� `� I l <br /> t : ��� �J�-? '��,�� �j�'� �.A� \�)Vr <br /> PROJECT ADDRESS i <br /> ��;C�vY1C\U�Z��v � C;�f1�V tuC��� �.�--,�, l.����c� -��' - -�Z.l�� � <br /> Owne� A1ail Addross Clly Slale/Zip Phane <br /> Tonanl Mall Addiess City State2ip Phone <br /> ;�'�� l ��'r � \�1 1--���'"\( � �_.c_� ��\L- ��1Zh� �,�_, _ — '_J�`'i� <br /> EICCI�ical COnlraelo� Wail Address City Stale/Zip Phone <br /> i <br /> �,���C ,�-���1v���� N� - -- ---- <br /> S ate License Number Conlracl P:��e ot 11�orF: <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> � i�` <br /> Descripfion of Worh lo �c Uonc' �1;�!\� � �'�l� �,\ '; ��� \� I I U �' <br /> NOTE: 1NIRING IN NON-D4V[LLINGS IS RE(�UIRED TO fEE <br /> E�E IN RACEV��AYS, MC OR AC CA�LE. � ._, <br /> tt� <br /> l <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /heiuby caiily that 1 have rend ond examined fhis applica(ion arid kno�v the same fe be true and <br /> com:cL All pro��isions olla�vs nnd ordinances�ovetnmg this type o!work�ri116e camploted <br /> whether specdied hcrein ornoL The�ranfing o/a pentid does nof �resume fo give aufhonty to <br /> violate or cance!lne Iuovisions ol an��ofher sfafe or local lau•reyulnfing construction orlhe <br /> perfomiance o/construc(ion. Thnt 1 am aufhorized 6y fhe uuner o/Ihis preperty(o perfom�the <br /> tvorl�lor�rhich application is nrade and 1 conq+ly u�itlr the Stafe CenUacters L'aw 18.27 RClS'and <br /> 296.200 Ih�AC. <br /> , _, ,, ,� � <br /> �- '- . r" �,-� -. ; _� ' - I ��`� ��6/, <br /> � 5i::naluie - - UafrJ � � , ,� � <br /> l./�,I <br />