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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 AM TO 4 PM • C IT R A T A TEO <br /> ����I L��nv�e. -�ue� <br /> PROJECTADDRESS <br /> � <br /> �At�n'ue- �nec$ 1 (0 3 I �,��,e, .�se,��� ��, �� <br /> Ownef / MailA.ddress City StatelLp Phone <br /> �/� <br /> Tenant Ma�l AUares6 City State�Zip Phane <br /> f�RT1Dv.1' �ecF1�i. l 335`i r�� l��=5� f�e.Elerc.� c�� �8'cY� �i7�y <br /> ElectricalContractor MailAtltlress City SIaldZip P�one <br /> (--ki-rJ���-�1�11 Bc. -��,/ ��s�-z <��'�� �' �#35vU `_ <br /> State License Number T� Conhact Price of Work <br /> Proposed Use ol Building Contact Pereon (Plan Review) <br /> Doscription cf work to tie Done� LU/v�.� �-�fu �a � �,� � r���� <br /> '0 <br /> C C�DP.o I'Yl(I-a-'�-✓P.�R/� <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CA9LE. <br /> CITY OF EV[RETi LOCAL SALES TqX CODE IS 3705 I <br /> 1 horr�4y certitylhat f have�ead and examined ffris applicefion and kno�v the same to be hue and <br /> correct. All provis�ons ollaws and ordinanCes goveminy this type ol wofn'will be COmploted <br /> rihelher specdJed herein or noL Tha prsnhng o!a permrt doe5 nof prssume ta give euthor�ty to <br /> violato or cancel fhe provlsions ol any othei state or local law regu�ahng c,�nsfrocrion or(he <br /> pe�furmance of consfruclr'on. That 7 am euthonzed 6y the owner of thisp r.iperty to pedorm the <br /> work for which application fs matlo and l comply wrth fhe State Contractor.;Latv 18.27 RCW and <br /> 296.200 WAC. <br /> �� °- z'°� <br /> Slgnat Ir�� I Date C�C�� <br /> ���� � � <br /> if3/i0 39tld �I21103�3 a34Nt1� 998ZZ9SS�b ZB�LO L00Z/Z0/0T <br />