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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �� � ,Z 6—b � <br /> 425-257-8810 - ;'i�X 425-257-8857—www.everethva.org �pj0�,���� <br /> APPLICAT10N5 ARE ACCEPTED FROM 8 AM 70 4 PM <br /> �� mvL iivr ra�[vr <br /> PROJECT ADDRESS <br /> �i ; ���vcnti=�.Iv �,.rr�='� i�J-tn�r N�� ta�ir��M/t�Viu& vVi9 . �Fi �, <br /> Ownef Mail Address City Slate2ip����7n Phone <br /> / <br /> Tenant tdail Address /- City State2lp Phone � <br /> / r � Pc7�'1.�.Y� J,�C'�r�✓ i! ��,,-��,g^.�.r J�n.�' 7. 77� <br /> ��//_��; C/r��,�;< %t�c�✓ .5,,.�,�.P,�N,<.'�5�„ n /,/.� 9 �h"�.,�Pl' �' <br /> Eledrical Cont�actor Mait Address T—Giry / State/Zip Phone <br /> 7 � ��� <br /> U%�� l=c 9csi� •,�[C'�C7 <br /> State License Number CoMract Price of Work <br /> �r-�� <br /> Proposed Use of Building Contad Person (Plan Review) <br /> Desuiption ot Work lo Be Done: /����1/S/�—���Z�1/—C.�—T".rTT=ie�r�f�—'f� <br /> �.r-�-� � r�-,�- �tnn�-�� r��m �-���,� �r� n� <br /> �=���r- �=�fr�: , �1P�irr- r�vri�- ����- , �r_����rz ���r�-n� <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE � <br /> BE IN RACEWAYS. MC OR AC CABLE. <br /> 4 ' � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I heieby certily fhal i f�3ve�eaA anA examined fhis applicafion nnd Fnow fhe same fo be hue and <br /> cronecf. AO pruvisions o/laws and ordinarrces c�ovemrng fhrs type oI work wrll be cnmpleleA <br /> �rhelher specilied Irerein or not The granhng o/a pennrt Aoos no( resume fo give aufhonry to <br /> violate or cancel U�e fvovisions olany other slate or locallaw ieguPirng cons6uc6on or fhe <br /> pedormance o/consfnictiorr. Thaf I am aulhonzed by the owner ol flus propr,rty fo��dorrn the <br /> wo�k 7or wlrich applicalion is made and I oompty wifh fhe Sla(e Contracfors Law fA.27 RCW and <br /> <^96200 WAC. <br /> i!.,4 �S-�� /� , / <br /> —�jnawie —' oa�e _^(J� _� l../ <br /> � � <br />