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ELECTRICAL PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, \NA �8201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everett�va.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> (� � �i� � <br /> �'�� �-' � \�-Ci\�� �L� , J '� 1—� <br /> PROJECT ADDRESS <br /> ���.;; �av� � w C��--,��-�-;,���,-� u�� �u2�� ��? � -- :;_ �r� � <br /> OP:ner L;aii Fddress City ;talei7_ip Phene <br /> Tennnl ��� td,ill�ddius: � _��_ CiIY Slal�"Z�P Phc+ne <br /> ��I l., V�, 1.��C.,'CY\L, W �Vl�.. _ `.l1 C.�il ��Z' �—� ���Z � <br /> [leclrical Contraclor Mail Address Cily State2ip Phone <br /> ��!\C.L'�Z(V L L,�C�j � �U� <br /> Slale I_isense Number ' Conlracl Price o(�\brk � <br /> Proposed Use of Buildin� Conlact Person (Pl�n Review) <br /> Doscrip � n of Work lo �e Donc: ��V Q� �{�.��� �U�-L_��� ����U�j.� <br /> ;� I ZC>C? <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FE[ <br /> BE IN RACEVdAl'S, �dC OR AC CABL[. � ��'- <br /> � X�, - <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 herebv carti/}�fhaf 1 hace road and ea�amined fhis upplic;�(ion �md 6no�r the same(o be true ond <br /> coincL All provrsions o/laws and orAinances govemmg fhis fypo ol work will be cornpleled <br /> � nhether specil�ed herein or'noL The�ranfing ola pernut does nof �msume to give aufhonfy to <br /> viulafo or cancel the revisiuns oI an}�other sfate er leca/lan•iec�ul�ting construchon crthe <br /> pe�fomiance e/cons�NCIlO/1. TIIB(I i1/71 Bfl(IIJlP_('(I�)Y}IIL'o�rner ot fhis prcperty to pedrnn ihc <br /> trork la�n�hi^h applir.a(ion is nradc and 1 cnmpl���tiith the S(ote Centractors Lau- 1t1.27 RCIY anJ <br /> 29G.Z00 l4�AC. <br /> ' C <br /> �� J� `� � ✓ �' ' <br /> �� ir,n�aur� !�__'_� aie <br /> �'`1D�('US� <br />