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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 3�3—// <br /> 425-257-8810 - FAX 425-257-8857–www.everetlwa.org <br /> �-��io 3_D I/ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , <br /> c� ;���'F� i�, �� <br /> ,_�') �L ���� {- .c <br /> PROJECT ADDRESS <br /> ;,. � <br /> �/ �:J J" •%'V C.Ci <br /> ��%a/��7�� /�C�� <br /> JWner MailAddress City State/Zip Phona <br /> f� , <br /> ✓��i l91(L' I l.'�aiVllll �fJi/1G-� <br /> Tenanl A7ailAddress Cily Stale2lp P o 0 <br /> �G� <br /> ��--r,a��� l�= c[F�:T %�- �� v ��>oc� G✓ET�El7� �,�ea �8Z13 £sz-�-� • <br /> Elect�� IConlraclor MailAddress City SlalelZip Phone <br /> � . �"� i� � . / :Y��'-'— � ZCJ�—�i M <br /> Slate License Number Conlracl Price of Work <br /> Proposed Uso of Duildin� Contacl Person (Plan Revievi) <br /> Descriplion of Work lo Oo Done: L- �<�iti i iNU r� 72JTii <br /> NOTE: WIRING IN NON-DW[LLINGS IS REQUIRED TO FEE " <br /> B[ IN RACEWAYS, MC OR AC CABLE. �� � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ..Q ) r <br /> I hemby cmfi/y fha(llmve read nnd examined this ap�lica" o and know fhe same to be fruo and '� � I �� <br /> correcL All p�ovislons olla�vs and ordinances govemmg fius f}�pe o/�:erk ivill be comple;�d <br /> whefher specilied lierein or noL The pranfinc�o/a pennd docs nef �resume to givn aidhority to <br /> violafeorcanceltlie I�rovision^ol�anyotherstateorlocallr�vregul�fingconsfrucfionerfhe <br /> pedomtance o(consfrucfien. Th�t I am authorized by the mrner of Ihis prapeRy fo pedonn the <br /> �rork(or u�hich applicafion is made and I comply u�ifh(he Slafe Confracta�s Law 1827 RCW and <br /> 29G.200 WAC. <br /> ' � rC, il�. ,i.11T ��:j�i1 _ <br /> � SignaNre Dato <br />