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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 C�O �`�d-/ <br /> -� � ` <br /> �'�,(� , i l� u c'K r .2 . �, - <br /> PROJECT ADDRESS <br /> /�r _,( �,.crr,tT„- .; ;�, >.,� t ��rc Nv4�,1 a�> r>a�,�E�c �s�,� '1zs �y3-� � <br /> Ownef Na�l Audicss Gty� Slate�Zip Phone <br /> Tenanl A1ailAddri�:= City StatelZip Phone <br /> �E6 . >.l>l� ��ECT•' �U (it-- 7� `/ LYN v'�ea P `%C-r �� �O E 7 S'i- 2L-t J <br /> Electric�l Cr,Nraclor Mail Atldress City State/Zip Phone <br /> I 7 t J �F� JJ���_�i 7 C' L_ _ I� /D � <br /> Slate License Num!•�i Co�lrad Price ot Work <br /> _ L�/� ,- .-�� i-.v"�-S <br /> ''n_po, �-. Use .��? �ilrlinp Contact Person (Plan Review) <br /> A I <br /> DescriplionofWorktoBeDcne: ��F/�Lrl-C�= �r /�F/' �' /`1"t�1 � <br /> NOTE: 1tiIRING IN NON-DW[LLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERFTT LOCAL SALES TA,<CODE IS 3105 <br /> F��`���'j - � � <br /> 1 hereby ceiU�v!ha!1 have read and exarnined this application anJ kno�v the sarne to be frue and � <br /> correcL All pro�isions o!/mvs and ordinances c�overnmg fbis type o(�rork�vill Ue wmplefed <br /> �vhether specilied herein or not The 3ranlin�o!a permd does not piesume to give aufhority to <br /> wolafe or cancel fhe provisions o/any other sfafe or localla�v rec�ulafing consfruc6on or fhe <br /> perfomiancc!o/conshuction. Thaf 1 arn authorized by Ihe o�rner o/this property fo perform fhe <br /> work lor rohich applicafion is made and 1 comply:vieh Ihe Sfafe Contractors La�v 7827 RCW and <br /> 29&200 WAC. <br /> � 'lI I <br /> • � / <br /> � � — 2 � — � j . <br /> -� ��lti_�. ��� <br /> �Si�iialu�c Date <br />