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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 b AM TO 4 PM <br /> � ���05 � ��A�y � e l�,� � <br /> PROJECT ADDRESS � <br /> � //�� I <br /> .:.,'�•�•l�-L- —'`��Ji (�,C�c� 'i�''-% �� l�t���;4— ' I'II� ':-•Je�� �� `( �'d-� I <br /> OWner Mail Address � City Stale/Zlp Phone <br /> �-��' a5� � �� �II <br /> Tenant Mall Address City State/Zip Phone <br /> '�("� � I <br /> Elecfrical Conlracbr Mail Address City State/Zip Phone <br /> Stale License Number Contract Price of Work <br /> Proposed Use of Duilding CoMacl Person (Plan Roview) <br /> Description ol Work to Do Dono: ' l-, C- �Q,(%� � �-" I�CI.� � � <br /> ' (' (,' � <br /> = �'-I, ` I GLCC.O�'vL.i.LO�C. C��(J <br /> ' � / <br /> � J ��! � n � /,. <br /> —. �"� ��1�� �-�'�l <br /> NOT[: WIRING IN NON-DWELLINGS IS F:EQUIRED TO FEE <br /> (3[ IN RACEWAYS, �'� OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily fhaf/hare read and exarnined fhis application and know the same fo bo frue end �_.� � � ��-'y�` <br /> correcf. All provis�ons ollaws and ordinances geveming this fype ol worh will Ge completed <br /> whether spealied herein or noL The graniing ol a pemut does not presume to give aufhonty fo <br /> violale or cancel the r�roeisions o!any ofher s(afe or local law regulefing oonsfruchon or fhe <br /> perfonnance o/constn�dion. That 1 am authonzed by fhe owner o/fhis property fo pedorm fhe <br /> work lor which application is made and I cornply witb the Sfafe Confracfors Law 1827 RCINand <br /> 29fi.200 11'AC. <br /> � ' . � <br /> � <br /> ' ' � � n� <br /> i � � ( ; , � �., ; 1�, � � <br /> —��- —y—�--C — <br /> si��ahue oa�e <br />