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ELECTRICAL PERMI� APPLICATION <br /> CITY OF EVERETT PERMlT SFRVICES <br /> 3200 CEDAR STREET, EVEP,ETI", WP,98201 ��a-3,_�� <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> �� ��6'�3 <br /> APPLICATIONS ARE ACCEPTED FRONI 8 .4M TO 4 F'M <br /> —; ��� Vl�i1-� 1��0�� 02 c=u�P—�� `t�'� Z�S <br /> PROJECT ADDRESS <br /> (�`�i= i= ('��ca< �c,N `f7l U«w6�OL-LD�l LUCf.Ftl <br /> Ownef Mail Address City Stale/Zip Phone <br /> Tenanl Mail Address City Slale/Zip Phono <br /> ����,.��N ��c�� � �N � ST'�u�nucH � �n �t�.�� �� ye� ��., <br /> Electrical Conlractor Mail Address City StatelZip Phone <br /> ( � .i=1Al�-=l IC{���{ �.',�— S'C'h 1i�2 <br /> Slato Licenso Number Contracl Price of Work <br /> Proposed Use o(Buildiny Conlact Person (Plan Review) <br /> Descriplion of Work lo�u Dono: � '�i�Z - � ��1�— � U��/�� V� '�� � ��� <br /> �(�I� ��J� �C ��-1 � I��LL�� C�I�S <br /> �-,--� <br /> � <br /> I NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAI'S, MC OR AC CABLE. <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereGy ce�tily fha(!Nave iead.md exami�md fhis applicn(ion and know fhe same to be fruo and <br /> carocf. Al!prowsions o//mvs and oalinancos yovernmg this fype o!�rork wiil be completed <br /> �rhe0ier spea6ed herzin ornof. ihe granfiac�oI a pernut does not resume fo give aufhonry to <br /> viclate or cancellhe �rovisions o(any ofhcr s(afe erlocal law reguPfing consfrudion or fhe <br /> perfominnse o�cons�rucf(on. Thaf 1 om�,ufhorired by the omier o/fhis prope�ty to perform!he � � <br /> �rork lor which appiicallon is r iado and 1 cornply�rtlh Oie Stafe ConUactors Law f8.27 RCW and I O� / <br /> 29G.200 WAC. � � <br /> � i <br /> �C�� ���,,�.-..., C-� J z'. ��� � I <br /> Siqnafurc D te <br />