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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 8 AM TO 4 PM <br /> � d � �-1 � � r ,,J C ��S/ r <br /> %''�L-' � �/ � L / �G <br /> PROJECT ADGRESS <br /> � � 1/0 � �- <br /> Owncr L1ailAddre,s City Stite2ip Fhone <br /> Tenanl ldail Adtlress Ciry S�ate2lp Phone <br /> �). �. �L%�ti5��n� �'cF�T�� c i ,t'�a4� Ly,v,t/w�•�,0 �,vi� 2oG 9S3 P98s <br /> Eleclrical Conlraclor Mail Address Ciry State2ip Phone <br /> �� � �[l-E 1 v e�8 C. <br /> Slale License Number Conlract Price of Work <br /> S f -L/ - NEw ('U � F< < (= <br /> Proposed Use ot Building Conlacl Person (Plan Revicw) <br /> Descriplion o(Work to�e Done: �� � r` � f���'��`��v^� � / 'J�.! S� � 0�F!L E 3 eJ � <br /> � <br /> NOTE: WIRIFJG IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CADLE. <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ccrtily Iha(I have reaAand ca-�vmined fhis apphcnfion and Fnow fhe sarne to bc hue and , <br /> I conacl. All provisions o!lu�vs anAoidinances,qovernmg[his t}�pe o/u�uik�vil1 be r,ompleted �������` �C;�'l� <br /> whefhcr spealied herein or noL The granfing o/a perrnd does not presume to give�ufhoiily to <br /> violate ur cancsl fhe pr�visions^�any othm slafe orlocal law regulating consiruc(ion or(he <br /> perlo�mance e!consfrucfion. (hat I am authorized by the owner ol fhis property fo perform fhe <br /> work(or�rhich applicafion is made and 1 compty with fhc Stafe Contiactors Law 18.27 RCW a;iA <br /> 29G,20R WAC. ,� <br /> I � <br /> ., ��i i i_.,...�- � _ � <br /> ! _-,,' ' C _ �c� � "� G,� 5 � ��� <br /> --"sirn,a�urc oatc <br />