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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 6 _ /�(—O 7 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> C o �cd- 07� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ; ��)'L � vc4; �. � ��v [� <br /> PROJECT ADDRESS <br /> Owner 67a1 Address City State/Zip Phone <br /> 2 <br /> L'u�,�r�� 1'�� �«,1 � ,,,lvr��c, I Sr�� �2�cke% l=tl�ret� ,�A 5'A vl ��-a �,Z�s <br /> Tenant Mail Address city state2ip Pnonc <br /> �u71���( I 30 � 1' C41-�w4 ,i �i i..h�,,,,IS �„k 9X16.Y 7c3zI'i�- <br /> Eledricai Conlraclof Mail Address Cily State2ip Phone <br /> �, �z�a h � �c�;� �r � ,, �,.. ,�i s��� _ <br /> Stale License Number Contracl Price o(Work <br /> �'�,�f. . ��1. . ,�rr�i l�Y'IJ /u ,�i��� 't� <br /> Proposed Usr.01 uilding Contacl Person (P n Revicw) <br /> Description o(Work lo Oe Done: ���� ��tr� 5��� (� Lrti <br /> NOTE: WIRING IN NON-DWELLII�GS IS REQUIRED TO FEE <br /> BE IIJ RACEWAYS, MC Oli AC C11DLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereb��certify fhaf 1 have read and exnmined Ihis applicatien and Fno�r fhe same to be Uue and <br /> cerrec�. All provisions olla�vs and ordinances po��ernmg fhis type oI u�ork irill be complefed <br /> �vhether speci6ed herein or not. Tho granfing of a permR does nof iresume fo pi��e aufhonfy to <br /> violale or cancef the provisions ol any ofher sfafe or local law re�ula�ing construction cr the <br /> peAomiance o/cons�nicfion. Thaf 1 am authoiized by f1m o�tner oI this property fo perlonn the <br /> work lor which applicafion is mnde and I compl}�wifh Ihe Sfate Contracfors Law 78.27 RCW and <br /> 296.200 WAC. <br /> �_� _1 ' G ` � '_��_ �' <br /> S�nn9,�.,ie Uale <br /> (, <br />