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EL�CTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT �ERVICES <br />3200 CEDAR STREET, EVERETT, NIA 98201 -� _'�,6.-.O � <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />� 070 7-h( <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� //1 F-'cic/��Lit A:J�c <br />PROJECT ADDRESS <br />�3 4 `i C., <br />,'✓�.v,; (l.:r-�zr�;z.� `'i;�s:,t' a-�� -r.��� <br />O�vner ldail AdCress Gly <br />Tenan! <br />r � F <br />[lectrical Contraclor <br />Slale License Number <br />Proposed Usc of E3uildinr� <br />6�ai1 Address <br />Idail Address <br />Cily <br />City <br />r� � i3 <br />Slale/Zip Phone <br />StalelZip Phone <br />Slatc/Zip <br />Conlracl Price of Work <br />Conlact Person (Plan Revicw) <br />Phonc <br />D�sr.riplionolWorklo�eDonc: '�-%�� ��• •�i�' :��t ,ti F2�•�-�'� ✓��'a <br />NOTE: �VIRING IN NON-DW ELLINGS IS R[QUIRED TO <br />BE IiJ RAC[WAYS, MC OR AC CA6LE. <br />FEE <br />J��:' <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cr�rfd}� Ihaf I have �ead and examined fhis npplica(ion and know fhe sar-,�e to be 6ue and <br />conecl. All prorisions olla�vs and orAinances 9overnin� fhis type o� wurk will be cornpleted '-�� 1�� 1 � 1\ <br />whefhei spocined hercin or not. The g�anting b! a perrtnl does no[ �resume fo give authon(y fo <br />violafe or cancal the provisions ol any uther slate or local la�v ree�ul�(ing conshuction or fhe <br />pertom�ance oI conslrucfinn. ?I �f I am aufho�Ized by fhe o�vner ol this property lo peiiorm :6e <br />a�crk lor whfch applicaGon is ns�Jc and I comply u�ith fhe Sfnre Confraclors La�v 78.2i FCW and <br />296, 200 Ih�AC. <br /><' i � ._. . ,-. <br />