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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 A�d TO 4 PM 7���_�� 6 <br />� � <br />`/ I��-2 5 �� ruv'S'��� /��� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />,� <br />Address <br />Mail Address <br />0 <br />City <br />Cily <br />Stafe2ip <br />StatelZip <br />o� �- s2 -r: <br />Phone <br />Phone <br />.�n.-�ur�� �re�P�� �is=�sy-Gc� <br />GledriCal CoNraclof A1ail Address City Slate/Zip Phone <br />�6/.� /-��� �'O 9�Q,�/ <br />Slale License Number <br />Proposed Use of Buildinc� <br />Description of Work l0 6e Done: _�l I/'Pi ii/2/-'�/ (-� T %7f ` S <br />NOTE: �VIRING IN NON-DWELIINGS IS REQUIRED TO <br />BE IN RACEWAYS, AiC OR AC CABLE. <br />CITY OF EVERETT LOOAL SF�LES TAX CODE IS 3105 <br />2<��' <br />CoN ct Price ol V�brk <br />Contacl Pr.rson (Plan Review) <br />1 he�euy certily (haf 1 have read and exarnineAfhis application and knuw fhe same lo be in�e and <br />correcf. All piovisions of laws and orAinances gm�emu�g this type o( worh will be complefed <br />whelher speufied h.erein or nof. Thr, granting o! a pemut doas not presimie fo give authcrit}� fo <br />violale or cancel lhe provisions ol anV olher sfate orbcal la�s regulaling construc6on or Ihe <br />perfonnance o/consfnicfion. That 1 am aulhorizeAby the ownei o( this propert}- to perfonn the <br />work lor n�hich applicalion is maUe and I coniply witb the Stafe Coniractors La�v 1827 RCW and <br />zss.zoo wnc. <br />FEE <br />��. � <br />�l -� -% � � (—i <br />