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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 /O ` ���C7 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> L�p�p—Go 2� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �'� � � � ) ��o r e_ �I- v� <br /> PROJECT ADDRESS <br /> -_ Cr:�....., -i1J 'c�i��v,t� <br /> ���✓�-T_�J ) �ti'L� � <br /> Owner Mail Address City State2lp Phone <br /> Tenanl Mail Address Ciry State2ip Phone <br /> �-�� � � ,� r;� rlr� �( � ;� �:� 6�»� ��1�� l-- � �� ��{ ��.�a ����i �1a5-,'� ��� <br /> Electric I Conirector �..: Il�����` Mail Address Ciry Slalo/Zip Phone <br /> rj � <br /> �� { r�� .�% 0 �l - '� `� � <br /> -t1�' !�` l I� i <br /> Slate Li ense Number Contrecl Price of Work <br /> � �_� / ; �'� <br /> Proposed Use of Building Conlacl Pers n ( lan Re iew) <br /> Description of Work lo�o Done: ��h i t> > �.< �� � (' 'T � �� � ��' C r <br /> NOT[: WIRItJG 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 /> !hereby certily tl�af 1 have read and exarnineA fhis applicafion ond kno�v the arne to be fruo end � I �' ��' � �:���� <br /> conecf. All ptavisions o/la�vs anA orxiinancrs goveming this fype of work wdl be cornpleted <br /> whe(her speciGed herein or noL Thc granling of a pennd does nof xosume fo givo authonty fo <br /> violafe or cancel the Iuovisions olany oflier slafe or lecal laiv regulafing consfruclien or tho <br /> peifonnance ol consfruction. Thaf 1 am aufho�ized by the mrner o/fhis property fo perfomi tho <br /> �vorkJor�rhiclt,applicafion is made and I comply�vifh(he Sfafe ConU��ctors Law 18.27 RCW and <br /> 29(�i.<^OOW�� � <br /> / <br /> �.,�l ; ;�:,)/ O i / I �� <br /> � Signalwe Date <br />