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� �� ( f — <br />PROJECT ADDRESS <br />C� <br />Owner <br />�LECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 982U1 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />r�� � �� <br />� , �t ( F� � <br />A1ail Address <br />� <br />ry- v,��„��,. <br />Cily <br />N/i'/ .� `J:i':�� <br />:taleRip Phone <br />Tenanl �1ail Address Cily State/Zip Phene <br />� `�7� <br />y <br />I��,tur� C�e<`�r: � 13[-.�! -� �� (>'l� dUI�J Sfi�•� l.✓c��, ll%/�4 �%`�.t`Z �7- <br />Eleclrical Conlracbr A1ail Address Ciry StatelZip Phone � <br />L� � rl ���, �_ � D 7�� � L <br />Slate License Numbcr I <br />�� f � C( L�i F- (� � CC /'Q C� � <br />Proposed Use of Buildinc� � <br />Description o� Work to De Dono: I��-- �E �T <br />r y� <br />�-(i' i i r 6 L/ C. _..a �� � <br />NOT[: W IRING IN NON-D1�'[LLINGS IS REQUII2ED TO <br />B[ IN RACEWAYS, MC OR AC CADLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />n ^ <br />�)�l <br />, .> f (�I , , ���c; � <br />� Contract Price of W r -�V <br />:� <br />�" p �� �s 3S r ��6 <br />Conlacl Person (Pla� Review) <br />1 hereby cerii(y fhaf 1 have read nnd exnntined this application and know Uie same to be frue end <br />correct. All provisions ol laws c+nd ordinances yovemmg fhis fype o/ a�ork will be completed <br />�shether speaGed herein or noL The granfing o/ a pemut does nol �esume to give authonf}� to <br />viclafe or cancel tho `�rovisions ol any other stafe or loca! la�v reguPfing consWcfion or fhe <br />peiformnnce ol construction. That 1 am au(honzed by the o�rner oI fhis property fo peifomi fhe <br />work !or �shich application is maAe and 1 compty with the Sfafe Confracfors Larv 18.27 RCW anA <br />296.200 WAG , �-, <br />/�—� ���.5 �/c°' � <br />FEE <br />