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ELECTRICAL PERMIT APPLICATION <br /> ClTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - �AX 425-257-8857 —v�nv�v.everetlwa.org <br /> APPLICATIONS P,RE ACCEPTED FROM 8 AM TO 4 PM <br /> �� � ��� l ` � /�� . G� X-?.�' / �'�` <br /> � <br /> PROJECT ADDRESS <br /> L� <br /> S�; : <br /> Owner A1ail Addross Ciry Slatc.2ip Pnun <br /> Tenanl A7ail Address Cily Slale2ip Pho� <br /> ��"� /) / /A Q � I Z� ,�� <br /> ._ 1Ge.� r/e�L�1�1G LC..L. ��/'Ittki,/Yl� �/�/n-���sv �{�1..:�,�-�� y �� <br /> C-Ieclrical Conirac�or Mail Address Clty State2ip I'hc� � <br /> �'l; �<�. �l ��n9A 3y�v� <br /> Stale Lir.cnse Number Contract Price of Wort: <br /> f'��.'T _ <br /> Proposed Use o�Buildiny Cont:ict Pr,rson (Plan f:evicw) <br /> i <br /> Descripllon uf N'ork lu C�e f�une�. � � �7l'% ��U � — — <br /> NOT[: WIRING IN NON-DWELLINGS IS R[QUIRED TO FEE <br /> � OE IN RAC[WAYS, MC OR AC CA6LE. <br /> CITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 . <br /> � '� )�,�L� �� � <br /> 1 heieby ccrtr/t'(h.�t 1 havo read and examined fhls applicafion cmd kno�v Ihe same to bo frue and � ' � <br /> conecL AO pirnasiarrs o/la�vs nnd a<iinances�overmn�this lype ol�rork will be coniplefed <br /> mhether speciheA herein or nol. The grantin�o/a pemut Aoes not �resurne fo c�ive authority fo <br /> viela(e or cancel fhe Ivovisions o/anv other stafe or lecal law repul�fing construcfion or fl�e <br /> perforrnance olconslrucfion. That I arn aufhorized bp Ihe owner ol this property fo perform fhe <br /> work lor�ahich application is made artd I cernply�rith Ihe Stafe Conirnttors La�v 18.2i RCW ard <br /> 296200 lti'A C. <br /> ' ti-' " /C.'/.,� `// $��J ��(J� <br /> Signaturc Dato <br />