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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �a-G�o <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org � �a� z-03� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ,�1c�c�C� ���.a�.���_ la,w 1;,..���1- �� �G;.�c;� <br /> PROJtCT ADDRESS <br /> Owner ldaii Address Cily Slale/Ifp Phone <br /> l �n,'o., ��',�„�1 <br /> Tenant Mail Addross Ci1y StatelZip Phone <br /> SI�',S � ,Y. ..i �o -�� ���� f1'��1�_� 1� � �. ���� l�ti `1�'� `i�-i <br /> ;loclric2l Conlraclor Mail Address City Slate/Zip Phone <br /> ,��;G �i1 �660� <br /> �111�-T � , -� C-L 6 i�3 � 1 (�Cx.; <br /> Slalo Licerse Number Cenlracl Price of Work <br /> � � <br /> c 'h_,.5�-. v�V ����..��� �-a-.1 n ���(v r r:y:_i.1 . <br /> Proposed Use of uilding Conlacl Person (Plan Review) <br /> Doscriplion of Work lo Dc Done: C-4 t���� � � <� � �'��_�� C ^�i.+.�- •Ao�' �-�C bV%�_� <br /> ,�,..� .�'a�.�•�i5 <br /> NOTE: WIRING IN IJON-DW[LLINGS IS REQUIR[D TO f-EE <br /> f3E IN RACEWAYS, MC OR AC CAC�LE. <br /> CITY OF[VERETT LOCAL SAl[S TAX CODE IS 3105 <br /> I hereGy certn"y that I have rvad and examined this application and kno�v the same lo be fruc and <br /> correct. All provisions o//an�s and ordinances gnvernin�ihis type ol work utill be completed <br /> whelher speciGed herein or noL The r�ranfing e/a pwnuf does nof �rosumo tu give authority fo � <br /> violale o� cancel fhe �rovisions o/any ofher slafe or local la�v rec�ulafing consWc6on or Ihe <br /> pe�/ormmice o/cons�iuction. Tha(I ant authorized by the ewner o/fhis propert}�fo perlorm Ihe <br /> �rak!or wJiich application is rnade an�1 cornply�rith fhe State Confractors Law 18.27 RCW and /.�-7 � <br /> i 2�3G.200 WAC. . V � <br /> : , a , <br /> ;,�--- � " ��- i� - �," ��: ; a <br /> ,. , s�n,awre � �- oaie <br />