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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 —�•,�riv.everetl�va.ory ����(,L'�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �`� .,�Z <br /> %� D9 �l�n�e ����_ �`�e�H , vv� �°� 2-0� <br /> PRO�ADDRESS <br /> �-25, �{2Z S2Z7 <br /> ���l�s— ��o� sha� /�ve � _ - ✓� � 2.03 <br /> Owne 1.1i,1 kCd•ess Ccy St�L••�lip Phcce <br /> TCndnl Idad ACdrCss Crty Slate�Zip Phonc <br /> 0,�,�r <br /> Eleclncal Conlraetar �.tad�1dJress Cuy Slale�Z�p Phone <br /> Stala License�dumber CoNra:l Prico of Wor4: <br /> Proposcd Use of Huilr.ing Conlacl Person (Plan R�view) <br /> Descr�ption cI Vdor�; t,�[?e Lnnc: _�f.�_�(��l�(i��� S� �'1✓).'/.(�i -- <br /> � � . " I CJ �-- —-- - <br /> �C_L�CGILI�S -�- ---��--'��GW'� --- <br /> NOTL WIf�ING IN NON-0WGLLINGS IS REQUIR[D TO PEE <br /> [3E ItJ RACEVVnYS. MC OR AC C��LE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> — i <br /> 1 hciehy cerfily that 1 ha��c re,�Aand e��amined fhis appi�:;ition and hno�v Ihe sanre fo be buo and � �2�— QO�/ <br /> eonocl. NI protisions ol lmtis anAoidinancus go�-em�ng flns fypu o��rork wfil Le conip/efed 0 <br /> u-herher specdied herein or noL Tha yranfing o(a pc�nut ducs noi vesume fo yive authordy�o <br /> viola(e or cancel Ihe`irovisiens ol any ofher stafe ei local law regulating consfrucfion or tho <br /> pc�fornrar�cc ol tonstrucfion. 7haf I am aufhonzrd hp fhe o�tiner cI fl��s properly to padernt(he <br /> �tiae�o��5n�c�,��i,r�carron�s n,ad�and I crnnply�}ifh the State Contrncfors Law 18 27 RCIN and <br /> 296 2U0 WAC. <br /> -- — �-�� � �� —---- <br /> ,�, ,�� --— - - ,,� <br />