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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98207 �J�0 Z�-6 Q <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org L��gD-�"007 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ')� � t � 1�, ;. � n �i � II, � i � , � <br /> PROJECT ADDRESS <br /> � <br /> � • � � � i3��l��i�;- -;l�� <br /> i �- ��; .� i' 1'�, c:1 _ ')� �`� l �_r � bvll `i�J(._? �` I <br /> pyy�e� MailAdtlress Ciry Slate2ip Phone <br /> �'t I �< < i �� �� '���ik� w�l c}5t3t'l^ � 4')`�5��1 31%T�� <br /> .7enant rnaiinadress ciry StalefZip Pha�e <br /> � C'i'�>> � <br /> iy� � � � • � � t =,� �� � � � - �� � �'�� t�� ��,�,. , ��� =��:.;-� �,�, � �r� � <br /> E�eclrical Conlractor Mail Address � City SWte2ip Phone <br /> Ill-L71. `�' J�I�.'f^, _ � i ��I .�^ <br /> Slale License Number Contract Price of Woric <br /> � � n �, n '�� r ( � t � ��c�•�I-� `�;� } rlc'. <br /> Proposed Use ol Building Contacl Person (P�an Review) <br /> Descnplion of Work to Be Done: ' l � '� ' �i � i I'� i �'. , I�L� i (�, �, �1 �� <br /> il � i� � � • � �` �'� � '-�-i _ �, �, ����.,� � ��. �..�._' ��: I lt �_�.( l � ' � 1.� <br /> � <br /> i � � , � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I heroAy certily fhaf 1 have road and oxamined(his applicahon and kno�v fho same to bo true and <br /> conacf. All provisions o//a�vs and ordinancos govenung this typo o/work will be completed <br /> whother specified herein or noL The gronfin�ol a pemuf docs not resume fo give authonty to <br /> violafe or cancel tho provisions o(ony ofher sfate or local la�v reguPting construction or fho <br /> perlomianco o/conshuchon. Thaf 1 am autlionzed by the o�vnor o/this property fo pedomi thft <br /> work!or u�hich applicafion is mado and f compry�vith the Sfato Confrac(ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ; � � � � I; t� i�, �� k �� ,�, �-,�,�7 <br /> Signature - Date •. /�- <br /> l, <br /> ,�, ;::;.' :..r) ��C.' ��� Si.'�=U <br />