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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <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 /> �00o SoHfE(L 5�'(�EET ��AMP�� 1 �,�v3�� ���\ <br /> PROJECT ADDRESS <br /> �VE'�E�\ toP�MJN�\`( <br /> Go �F Grc �0.� ZowE�ll S�. �.JE�E.ZT \+R ��1�\ 415-3F,�`4$1 <br /> Owner A1�i1 AdAress Cny Slale'Zip Phone <br /> S►�h�C __ <br /> TCnOnI L1ailAddics: Cdc Sldbr?y� Phono <br /> WtJJE�G�t+� �K.�, kS�S��q��k.��Jl- S,S���C\�O QE.IJ'COtJ \aA�1�i0C� �1�)''��'�'31� <br /> ElectricalContractor I,Iminddres; GIy Siaio�Z�p Phone <br /> caNve��9�4�c� �`���L ��6, �8� <br /> State License PJumbr.r E F l��b�L Canir�ct Pnr.e ol Work <br /> C��f ^�q'Zr� OQOA�� �� M��.CSCy'���'���•6�3\� <br /> Proposr,d Use ol f3uildinq Cant.ic�Person (Pl�n Revic�v) <br /> Descnp�ion ol Work�o Be Done�. l�C?L41�E �� YV'(� A�P1�� C �N(;L �(�,NO �� �-��e G�C�.�� N 1A4� <br /> Ecq��Jt��e�'� c�I�PE�S Z�`-5 GR�Se�rC I�qN�:qc�o'c�.. C��.� o6o,cc1 A�� <br /> CA'S�F �� �tMt�W T��� S�^�. <br /> IJOTc. WIRING IN NON-DWELLINGS IS REQUIREU TO FEE <br /> 6E IN RAC[WAYS, h4C OR AC CA�LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I Irerebvi certily Ihaf I have read and examineA fhis applica:ion and hno�v fhe sanie to be true and <br /> correcL All prnvisfons ollaws and ordinancas govern�na Ilris rype ol unrk�rdl be comple(ed <br /> �rhelher speciGed herein or nol. The granlir9 of a perrnd does no(prasunie(o givc a�tlhnnl�-to <br /> violafe or cancel(he provisions ol any olher slate or lor.al law re,qulotmy consfrucfion or(he <br /> pe�fonnanco of consUucfion. Thaf 1 nrn ou(horimd by Ihe o�vner ollh�s property to perionn fhe <br /> �vork lor which applicnfinn is mado and I r.on:ply n�ilh fhe 5f21e Contractors Lan� 7A 27 RCW and <br /> )'9f.200 WAC. <br /> '� ��1� °� -- <br /> s�q�,m��«, - u,��� <br /> 1:0&05 o i I <br />