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-; <br /> ELECTR�CAL PERMIT APPLICATION <br /> CITY OF EVERETT PERM'IT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-88'10 - FAX 425-257-8657 —www.everettwa.org <br /> APPLICA'fIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ,1J � � ��(.Gk C� !/�6•�� <br /> PROJECT ADDRESS <br /> ��;-� �v.���' ������. <br /> Owner Mail Addres, City Slate2ip Phono <br /> Tenanl Mail Address Ciry State/Zip Phone <br /> C/ -. / �J {� �. <br /> f�L)'� S �ICC�I'/C ��/ L��% 7S/ �L�G^-' i/�c�r�<,r_..>s�' �✓� ��l�r�- ��+�5'G',O <br /> Eloctrical Conlracbr Mail Address Ciry Stale/Zfp Phone <br /> �'I�L►�l� ��03��� �Isc��, <br /> S�ale License Number Contracl Price of Work <br /> Proposed Use oi Buildinc� Conlacl Person (Plan Re�iew) <br /> �escriplion of Work l0 6e Oone: ��L/U � !� l� ��ZLO��i"/E� _ <br /> NOTC: WIRIPJG IN NON•DVVELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 r <br /> I herebp certify th.�t 1 have read and exarnined this application�nd kno�v the same to ha frue ard r ( �_ (U2((J <br /> co�rocl. All pravisions of laws and ordinances c�overnmg fhis fype oI n�ork will bo conrpleted �/ <br /> �vheflier speafieAherein ornoL The granting o!a pernuf does nof prosume fo give aulhonty to <br /> violate or cancel the provisions of any other sfafe or local larv re�ulafing ccnstn�cfien or the <br /> perlommnce el consiruclion. Thaf 1�nt aufho�ized by(he c�sner o/llus propeAy to perform fhe <br /> n���k lor�rhich application is made and I comply�vifh fho Slafe Con6actors Corv 18.27 RCW and <br /> <^9G200 WAC. <br />- ��=���� �'-�/70/�> <br /> � " Siqnaluro Date <br />