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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREFT, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-SP57-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��(- � 1 1�- /_r� l_ � ;� ..i;�� _ i' �L (� �li �-., k �; �: c,,;�� 1 <br /> PROJECT ADDRESS � <br /> '�3 � /�.� C.�Lvi�' /�,Z �.( °�-'s-<<�e t .'s >J�'5,5� <br /> Owner P.1ail AAdress Cily Stale/Zip Phone <br /> �,r����t�, ' ��� C� F`/ 56ac �_ — <br /> Tenant Mail Address Cily Slate2ip Phono <br /> � i ._ I� �� <br /> �.'%/�/'��J [i �L;' lZ �12�' ).s� �'�7C�� ;�� ��p�-, � �F�S'�' <br /> [leclrical Contraclor Mall Address Gry State/Zip Phone <br /> � � Z S.� <br /> j�': S- %S I�/ <br /> , <br /> >��� ti.: ; z,i_ w y.�S� / <br /> Slalo Licenso Number ' Contract Price of Work <br /> ��r.�.-� ��; �..�� srr� �: � � c , - Lc '� i�' .��`� _ ��itt.�'��l �l�rs /� � -�� <br /> Proposed Us6 of Bulldinp , � � , � .� � �; �����% �,-�, �r i '� (_ ��.� .(,� Conlecl Person (Plan Review) <br /> Descriplion o(Work lo f3e Donu: __ __ <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE� ; , <br /> BE IN RACEWAYS, MC OR AC CABLE. �� �"�j c/:� o <br /> �.. r�� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 heiaby certily fhnt 1 hao-e read and exontined this ap/�lication and knotv the same fo bQ fruo end <br /> corrod. AI!provisions o(/a�vs and ordinances goveming this fype ol�rork will bo completed <br /> irhether specilied herein or not The granting ol a pernuf does not resume fo give authonty fo <br /> violafe orcancel fhe pro��isions ol�ny efher sfafe or localla�v�e�uPting consfrucfion or the <br /> peifemiance o/constniction. That 1 ant aufhorized by(ha o�rner o711us property fo perfomi the <br /> urork to��}�bich applicafron is mode and 1 comply with fhe Sfafe Confractors Law 78.27 RCW and / / <br /> 29�.2��VYA�. / � — � ! / <br /> t' <br /> ' ' �Iz�il �'� °�' <br /> , �""� � , <br /> ;� r� C ('_c _r � <br /> J� s��1n.�u�o � L.. '' oa�e <br />