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� <br /> 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.everetlwa.org i/� � �;-C � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �_�� �- �/- L-�-�' <br /> ' � bv�. �-,'7��7,-.' - <br /> /C. '.-� ;' /1!�:_ <br /> PROJECT ADDRESS <br /> J�i�YC.:i� l�':�Cl�,`�-y S/JL�/,/�.M�:'s�i Wi7 "� :-2�1,� I <br /> Ownef Mail Address Cily Stale2ip Phone �i <br /> Tenanl Mail Address Cily SlalelZip Phonc <br /> iG C - <br /> i'/' "+�il�>> "Gctiz'°r i..cc /�G IK�a' ,���`l/ S�s�t,�,sJc��*, -yW �v�J yE._2%/ y C� 3GYl <br /> � <br /> [Iedrical Confraclor Mail Address Cily State/Zip Phone <br /> i' <br /> l/:-T/�'l:9 GL G7� l 3 y C— �%, <br /> State license Idumber� Conlract Pnce of Work <br /> Proposed Use o(Building Conlact Person (Plan Review) <br /> Descriplion of Work to Be Donc: ��C� �,+��"� ,5 r�� <br /> NOTE. V��IRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> f3[ IN RACEWAYS, A1C OR AC CAf3LF. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 harebvi certily Ihaf I have read and examined lhis application anAWiow(he sarne to be frue and <br /> conecl All prqvisions o//a�vs anA ordinances governing fhis fype o/work wil!be completed <br /> whelhcr spucihed hemin or nnL The granfing ol a pernut does not resunte fo give aufhonty fo <br /> violafe or cancel!he pro��dsicns o!rny other s(afe or bcal la�v reguPting consfn�cfion or Ihe <br /> perlonnance ol consLuction. That 1 am aufhorrzed bv fhe ou�ner o(Ihis property fo peilorrn the <br /> �rorfi lor which applica(ion is madc:md I c�mply witli tha Stafe Coniractcrs Law it3.27 RCbY and <br /> 296.200 WAC. <br /> �� ' - ` - ,: G <br /> c. - � <br /> _ � �W�� Dale <br /> EIT�D �� '�5G1 <br />