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ELECTRICAL PERMIT APPLICATION <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRFET, EVERETT, WA 98201 �J <br />425-257-8810 - FA: . 425-257-8857 – www.everettwa.org / Z—/�� 6 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />5 /C ��r��°L <br />PROJECT ADDRESS <br />� <br />.�, � I' f-�%So,�l (%C��7F� c <br />[IedriCal ConlraC�or M11ail Addmss <br />n <br />.17Ci"tlCa-c�c;'�15� <br />Slate License Number <br />��L� <br />Proposed Use ol E3uildin� <br />Description o( Work to De Done: <br />NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CA�LE. <br />CITY OF EVERETT LOCAL SAL[S TAX CODE IS 3105 <br />L �,U�/c.J c Ck% <br />Contacl Pcrson (Plan Review) <br />I hereby certily thaf I have read and examined Ihis applicafion and know fhe samo fo be true and <br />corruct All provisions olla�rs and ordinances gorernmg fhis type o/ mork will be completed <br />whefher speaGed herein or noL The granfinc� ol a pernuf does nof �resume fo give aufhonty fo <br />violate or cancel !he prorisions o/any ofher sf�fe or local larv regulating consfruc6on or fhe <br />pe�fonnance ol construcfion. That 1 mn aufhorized by fhe o�vner e/ this property lo perfonn !ho <br />�rork !er which applicafion is made anAl compl}� �rifh fhe Sfafe Confracfors Law 7827 RCIN and <br />29G.200 Ih�AC. <br />1 i� _�-- <br />/ � <br />.�::, rti j�� �-- �„ —��<��� <br />Siynalure Uate <br />FEE <br />Cp 61 � Gus <br />