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� <br />ELECTRICAL PERMIT A,PPLICATION <br />CITY OF EVERETT I�ERMIT SERVICES <br />3200 CEDAR Sl'REET, EVERETT, WA 98201 S` � 6`�v <br />425-257-8810 - FAX425-257-8857-www.everettwa.org C'��bs_�/5 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />'� - <br />�'i L; � �.U'C��\S�v'V� � �.�'� <br />PROJECT ADDRESS <br />�i '.�r� <br />Owner <br />Tmtanl <br />� . � <br />� � ; v`,.Y . :(.,�`7� ���, <br />h1ai1 Address <br />A1ail �ddress <br />, <br />y �u.�` � ': ���_� <br />City <br />City <br />I�'���..��_ � ��1'��,� �,�'. '.-�V �L- � U �V'1 <br />Eleclrical Canlraclor � hlaii Address <br />��" . "� �_ \i'`�� ���C '� �J \ <br />Sta�e License Number ' " <br />Proposed Use ol Duildinp <br />Ci�y <br />� �-� _� —� <br />��k�-_� ��'i=� ��, �t�' � 7 ���_� <br />State2lp Phone <br />Slate/Zip <br />:-1 `. Ci ,_ [,l ' <br />SlateiZip <br />Contracl Price of Work <br />Contacl Person (PI2� Review) <br />Descriplion ol Work lof, Oe Done: `�� `� ���� --' ��'� L l��i� � � "` � �` `+n'`.� �� v��-. <br />I/� �__1 i ., � � <br />Phonc <br />' ��"'I� <br />NOl L: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. �1 <br />� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certil}� fhat I hace read nnAexe�mined this .�pplicafion and hnow the sarne to be fn�e and <br />correcL All provisions o/ laws mid ordinances govemm�r fhrs t}-pe oI �rork will be complefed � <br />�rhefher speuGed herein a� noL The c�rarrting o/ a pemut does nof presunte fo give aufhority fo �� <br />viol �fe or cancel fhe provisions ol any ofher sfate or local Ims regulating consfrucfwn or fhe ; I I i�/ <br />peAormance u/ construcfiun. Thof 1 arn nufhorizeAGy fhe ownero/ this property to perlomi the <br />❑�ork for which application is rnnde and 1 cornply u'ifh fhe Sfale Contractors Law iH.27 RCIN and <br />29G.ZOOIh�AC. _ ' <br />�-���-�, -�.-��.;�;�' <br />; _ --, <br />� ia>�-i�5 <br />Phone <br />