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ELECTRICAL PERMIIT APPLICATI0�1 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREl7, WA 98201 <br /> � 425-257-8810 - FAX 425-257-8857 —www.everettwa.org /D <br /> I APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � ` � <br /> i ��pD �� pi2 <br /> '�1 �i��J7 l0 i ewG r� ET�/'L- <br /> PROJECT ADDRESS <br /> �- � CLI 5 �..0 t�- <br /> Owner ( MailAddross Ciry Stale2ip Phono <br /> 7anant MailAddross Cily 81ate/Zip phone � <br /> �.�n�r.� ���r��.: �1��/I� G!(. �� ���`� C..c�.r�- ,�.,�-,� �1�� ��`1= S5'3 — <br /> Eled CplCo�i nVaclpr MailAtldiess City Stafa2lp �Plrone <br /> � 6`// <br /> �wt.��.�r..�v1 `�0 10`� 1��� <br /> State '-- ice��nse Numbi,r Contrad Ptice ol Work <br /> �'�K-G/—��2`��/"`�.3 Gy� y <br /> Proposetl Use of Duilding ContaCt PersOn (Plan Raview) <br /> Ueccnption of Work lo Be Done� ��;,� �� ,� y_ <br /> �, t� � <br /> NOTE: WIRING IN NCN-DWELLINGS IS REQUIRED 70 fEE <br /> BE IN RAC[WAYS, MC OR AC CABLC. <br /> CITY OP EVER[TT LOCAL SALES TAX CODE IS 3105 <br /> 1 h�3ruby r.oRily that I hav��read end examined lhis application and know tha same lo Ga tn�e and <br /> corroct. AN provisions of laws and ordinances govemmglhrs!ypn oI worlr will Ae completod <br /> �vh�lhe�spocilred hn�e�in ornot. 7he gr.mtin�ol a pormd does not resume to Qive authonry fo <br /> Nolato orcAncel tha provjsions of any olhnrstafe qNocallaw requ�linp construr.tion orlho <br /> pedorm�nce o�consfruchon. Tha(1 am authonzco by tho owner o(fhis property to penomi the � - <br /> worN for whiCl Applica 'on Is made and I comply with th�SIoM Contraclors Law 18.27 RCW and ,i '.�' � � <br /> 296.200 WA <br /> 5 ��'�- ' � <br /> � , <br /> Si� ature Date , <br /> I <br />