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ELECTRICAL PERMIT APPLICATIQN <br /> CITY nF EVERETT PERMIT SERVICES <br /> 3?.90 CEDAR STREET, EVERETT, WA 98201 � '"��'-"� <br /> 426-257-8810 - FAX 425-257-8857 -www.everettwa.org C OC�D 6 _ rr,rL <br /> ..�-, <br /> AP!'LICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> .�10 W �l Yl C�s� l L� 1 <br /> PROJECT ADDRESS <br /> .� u,u ��a ��j e_- Ic� 3�0� S�,:�-i- S-F �vc��,— 9��/ <br /> Owncr Mail Address City Slale/Zip Phone <br /> TCnanl M17ail Address Cily Sta�e/Zip Phone <br /> �L���_Co ��.a��l� rCt� �1� 5-�1c� �'-thJ/Tc�Ct� L-cJ/��ZS Z <br /> Eledrical Contraclor Atail Address City State/Zip Phone <br /> �^ _� <br /> �.c�:f C L)C-I /�.O n1 —�zX� <br /> Slale License Number CoMract Price of Work <br /> ��-sL� <br /> Proposed Use o1 Building Conlacl Person (Plan Revie�v� <br /> Description oi V�brk lo Oc Dcnr: ,7�1 uGt� C'L4^.[�.�1 / �5 ��� -� �/d .-<<� <br /> C�'�!d �2 cu..t`���� <br /> NOTE WIRING IN NOtJ-DWELLINGS IS REQUIRED TO f-[E <br /> BE II� RACEWAYS, MC OR AC CAFiLE. <br /> CITY OP EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby catily thaf I have reaAnnd examined Ihis application and kr;o�v fho sama fo he frue ond <br /> conect. All pruvis�ons o/la�rs and orciinances goveimng this f}�pe of H�oric will be complefed <br /> whefher speu6eA herein or noL Tne�ranfinc�c!a permd does not presume to give aufhonty to <br /> violate or cancel the�rovisiens o/an��other sfafe or local law regulofing consfnrefion or fhe �j <br /> pedom�ance oI cans,ruction. Thnf 1 am authorized by fhe mvner o!this property to perfonn the .��� � <br /> work/or whiclla plication is rn.3de and I compiy wilh fhe Stafe Conhactors Law iB27 ftCW and . � � <br /> 296.200 INAG � ,.� ; <br /> �� ;�� I �7 ` �1.���i <br /> / / ,9 � <br /> l/ � �-�'�G� ..V (,%C���l.Y.l_� �9-I / ��� <br /> Signalure Lale <br />