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� <br /> � �LECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 /b `a9-o �f <br /> 425-257-8810 - FAX 425-257-6857-www.evereltwa.org �� %JO /�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � ( % �� � r ��' �1 i <�Yt �,� - <br /> PROJECT ADDRESS <br /> �} .�/ i IJ /— � -J <br /> u /� i���� �iii� l�%� Li re� ff��'l�' Y� - /;ef (/ `/�<-'!' > �/''7 - Z� Z <br /> OWner Mail Address � City Stat^/Zip Phone ��G' 3 <br /> TCllanl Mail Address Cily Slate/Zip Phone <br /> l��j�•i�7— .%✓/r5 `' `l'.o ��6 �/ L—ve�y1 �-'��C -!c� ,/..4�' y�'.Z�- / �%2/ -.->3—�' 1/G <br /> ❑eclriCal ConlraClor Mail Address City Stdle2ip Phone <br /> �YL�9iv'�s /��z ti p j�,��� �_ <br /> State license Number Conlracl Price ol Work <br /> ✓i��> �`=" <br /> Proposed Use o1 Building Contact Person (Plan Review) <br /> Description of Work to�e Done: ��//! /7�% ��t���/.J �O L�'�T��5 � 6=� S f�i i�yr, c.� <br /> . � Y ;�4'� C C'� r �i r f.S <br /> ! NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> � �E IN RACEWAYS, MC OR AC CABLF. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cwfity Ihaf 1 have read and examined fhis application and hno�v fhe sarne fo he true and �;J ; i✓ - 1' f � <br /> conecf. All provisions ollaws and orAinances governmg fhis fype ol work will be complefed � � <br /> whefher specilied herein or noL The grantin9 0/a pe�nuf does not nrsume to give autl;ority to <br /> vi�lale or canccl the provisions ot any ofher sfafe or local law regulating consfruction or the <br /> pedormance ol conslrucfion. That l ant aidhorized by the o�rner o/fhis property to perform the <br /> work lor which application is made anA 1 comply�vith fl�e Sfafe Contracfors Law f 827 RCl4'and <br /> 29G200 WAC. <br /> ' r� ll�/�•' > /l�'_7y,�9 <br /> —�--- <br /> 5�<,��,a���,.� ���,�e <br />