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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 R AM TO 4 PM <br /> �� .�� �(i �.G--L. /�ur�:. �,� I__�. �. - . <br /> PROJECT ADURESS <br /> _ <br /> �C'!=��:'G'_A< <=-- -�',-A �,�-����_.:� '-� ,.rr�� <br /> Ownet 1�7aii Address City State2ip Phone <br /> l'enant Mall Address Ci�y Slate.�Lip Phone <br /> -- i" - <br /> �:�_�;��17�= ��^Ks 1�S'c_ �C.� ��n�,�-� -=j ''�)S �.s���� Zca�, �.�-��- ��'1-\.. '_ <br /> EleClrical Conlrector Mail Address City SWie/Zip Phone <br /> ti� �= <br /> �- �G'_1_:.>>�JLl= ���� C-a. \v2`>'�' ,_-. <br /> Slale License Number Conlracl Prico ol Work <br /> —:- � � — <br /> PropnseJ Use o(9uilding Conlacl Person (Plan Review� <br /> .— <br /> Doscnption o(Work to�e Done: '.�-� � �= ti�w ��� � <br /> NOTE: WIRIN� IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RF�CEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ce7il}�fhaf 1 have read and exemined this application and know the.;ame to be true and <br /> correcf. All provisiorc olla�vs and ordinances govemin�this t}�pe c(e�odc will be cornpleted <br /> whe0ier spealicd herein or nol. The�ran(ing o/a pemut dees not �resume fo gire authonty fo <br /> violate o�can�el the �rovisions ol an}�ofher sfafe or local law regu�aCng co:uWclion or fhe <br /> peifomiance o!cons�niction. Thaf 1 am authonzed Gy(he o���ner o!(l�is prcperiy fo perfomi fhe <br /> �vork!er which application is mado and 1 compl}��rifh fhe Sfate Cenfiacrors Cam 1827 RCl4'and <br /> 296.200 INAC. <br /> i .s- <br /> �...�;` v_ _ . �- �_ \_l— E. r. <br /> SiynaWre �ale <br /> !C�(.�- _ � `'�i <br /> � <br />