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ELECTRICAL PERMIT APPLICAT�ON <br /> - CITY OF EVERETT PERMIT SERVICES <br /> .% <br /> �� � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ����� �`` � i ,�,� � <br /> Y ` <br /> PROJECT ADDRESS �j <br /> �-r- � ' � C_� �. I LS [ <br /> � ' <br /> i, - :� _. i� . <br /> l ' , ,�G�u:N� ��� �'� Jr�,� ���:�i �� ������� -r`` �%r� `�'�;G� � <br /> Owner Mail Address Cily Slale/Zip Phone <br /> n <br /> /�C/�/�C. - <br /> Tenant Mail Address Ciry State/Zip Phone <br /> ���'"��f� <br /> EleclricalCoNrector MailAddress Cily State2ip Phone <br /> Slale License Number Conlract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> // %7 � , <br /> f l"l�vC"� , � <br /> Doscn riion of Work lo De Done: ✓1 �2-����� <br /> � <br /> ���� /��r/✓ /�� /� �;c;v':�l <br /> NOT[: W!RING IN NON-DWELLINGS IS R[QUIR[D TO 1=EE <br /> 6[ IN RACEWAYS, MC OR AC CAI3LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hr.reby certily that I have read and examined fhis aPPlication and know fhe sarne to be fnie and <br /> r,cnect. All provisions ol laws anA ordinances qoverning fhis type ol work wdl be cornple(er� <br /> whefher spcalied herein or nol. The c��anfing o/a pennd does nof/�resurne to give au(honty to <br /> violate or canccl fhe I�rovisions o�any ofher sfafe or local law regu afinc�consfrucfion o�the <br /> perlonnance o(consfruction. Thaf/am aufhaized by thc•orrner o(INs properfy fo perfonn Ihe <br /> work lor�t�hich applicalion is made and 1 confply nith the Sfafe Contracfors Law 7827 RCL1 and <br /> 296200 WAC �. ' <br /> .. - •�.' _. . ' — <br /> � �� ; � ' :', � � �� <. �-� �( , ���j <br /> --SionOture / r � . .. �-- Dale / <br /> ���CcC�!-0(c� <br />