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�z� i <br /> ELECTRIGAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> •125-257-8610 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �` �j_�O <br /> �, �,0�9 ��sy <br /> �-k:;._,1 f s:��,,-„�,.-c i��.:� <br /> ��s�-�.�F-R� t�.�d��, El/t��� vf�' <br /> PROJECT ADDRESS <br /> OWOBf �dailAddtess Ciry StatalLlp Phone <br /> �"GIC�-15 Mta�t�Gr� �701 �VFS1�IT .A�Jf-�E �� �.� ti73' 7�S?•6e3 <br /> 7enanl Mail Addiess Clly State2ip PMne <br /> �' - 7�•K�- 6-f�,'�r�� ��ts F r�A,-�csn�i-c.. w�1-�, sa-;� 'sr�9`+ZF, w,t <br /> Eledrical ConVaclof Mail Address Clty State2lp 2��_�7ti� P4m <br /> �c�sy��� � ��s_' <br /> Stato Ucense Nunber Coniract Price of Work <br /> GOM�fRr-ivTi <br /> '7i SLh"1�1 MAC '41f 2 e�-'7)4-� S!e <br /> Praposed Use ot Bulltling � Contact Person (Plan Review) <br /> Drsr,riptinn of Work to 8e Dona: �J���GF �LS L � �c'T'�^�� 1�� <br /> NOTE: W IRING iN NON-DWELLINGS IS REQUIRED TO ��� <br /> I�E IN RACEWAYS, MC OR AC CABL[. <br /> CITY OF EVERC•TT LOCAL SALES TAX COqE IS 311f5 <br /> � �� <br /> 1 horeby certdy thal I have read and exemined thls ap�6cation and knou�the same lo Le true and �=I/L�-� <br /> conecf All provisions o7laws and ordmances governmr�(h�s type n!work wrfl be cempleted l� <br /> whefher sp^c�(ed hereln nr noL Tho granfmg o�a parnvt does nof�.resume fo yive authonty to <br /> vio�ate er cancol tha piovisions ol any other stato er local law royulating cronshuUlon or tho <br /> performan lconslrucfion. Th/f 1 em authonzod b}�the uun�r of Ihis propoRy fo pefform!he <br /> �rorh lor hic dpp7lCafinn is m�f/e antll comply wdh fhe Sfafe Conlrar.rors Law ft7.27 RCW and <br /> 298.2pOWA . `/ <br /> � 05 �a � <br /> Sipnature Dale <br /> � <br /> � . . ,. .,,,, 1;�1 . �. _�,__..�. -_ �- �-_ -C�-, - �����.� ' . � . ��� ., . ._ . <br />