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ELECTRICAL PERMIT APPLlC�TION <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> 3200 CEDAR STREEI�, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-2°7-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �.►�__SC���21�'�^"`� �`7!� c—(� . �7:' �l d^' ��(L� O <br /> a..LC.� �-G��C� � � <br /> PROJECT ADDRESS V <br /> �a-y�Q�1����,r��y o3�l7 .�r.����r,s%tc.�G(/i9- FBZv/ 99is <br /> Ow er �7ail Addr s City Slate/Zip Phone <br /> 6� �S�r� �c, ��e_ <br /> Ten'`�`� A1ail Ad� �s Cily SWie/Zip Phene <br /> ��u�'��.� 3�09`�,���� � 98'�0/ �z5z 5 70 <br /> Eleclrical Coniractor Afail Addiess Cily Stale'Zip Phone <br /> ORNLSVE /ol f�GC �sraso �� <br /> Slate License Number Conlracl Price o(WorF; <br /> ��1.�,/%� q3� ,a s <br /> Pr ed Use ol 6uildinp Contacl Person (Plan Review) <br /> Description of Work to t3c Done: �T��'^'� ��`'" ���I��i Jf� (�/��9 �4/ �� <br /> �G� .�c�-�o�� �.T,cJ e�� �r,u.��-' • <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CA�LE. ��� / ,�S <br /> w <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certi(}�Ihal 1 hnve read nnd exernined this appliwlion and kno�r the san;e to Ge tme and '� `���) �- �-���%� <br /> co�rect. All provisions ollaws and ordinances governmg fhis type o!work�+<°';Le cornp/eted � <br /> u�hefher specdied hemin or nol. The 3ranling ol a pernut does nol��resume fo give aufhorit�fo <br /> violafeorcancelfhe provisionsolanyalhersfateorlocalla�rreguatingccnsWchonorthe' <br /> performance ol construction. Thaf/am aufhoiized G}�the o�rner oI fhis proNert}�lo perfonn fhe <br /> tvork lor whi �applicafion i ma e and I cornpl}��rifh fhe Sfa(e Conhactors Lan 1827 FCl1'and <br /> 29G.200 W . � <br /> . <br /> ✓ ��S�o g <br /> s�y�, ��� omc <br />