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ELECTRICAL F'ERMIT APPLICATION <br /> CITY OF EVERETT P�RMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 987_U1 <br /> 425-257-8810 - FAX 425-257-8857 —v�vw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROf�I 8 AM TO 4 PM <br /> �000 ToWE0. SZriEET C��MF��� U�`,mR7� \�.�I\ <br /> PROJECT�4DDRESS <br /> �V�•'0.E�\ COMM�N���( <br /> Co � Grc 1� ZoyEv� S�. �.�E�Et� up 4�10� 415-3���51 <br /> Oc.ner Llml Addu•ss City S�a�dZip Phone <br /> 3^h h <br /> T�ndnl I.1ail�Adress Cily Slale/Zip Phonc <br /> cJn1JFAG�r� �CEc.'1. kS�S��q��k.1��JCSS���CWO Q.E�OtJ WA4�dS�' 4�j-��1-1�) <br /> Eier.lrical ConUac�o� A1ail�Adress Gty Stale2ip Phone <br /> coN�lE��9b4�0. `��.��L I �D ��6 �8� <br /> Stale License Number E C �t t���C � 11� onlract Price ol Work <br /> 1 <br /> C��0-E ��q�r� O��DA�C �S M�ICS CMti-'�'�� •6�31� <br /> Propnsed Use oBuildin9 Caniact Person (Plan Feview) <br /> Description of Work to Oe Done: �LA�F �0 Y�t�k A�q�h �qN�� (ENO aG ��Ck���� W� �� <br /> Ea�v���E*►� c�c�PEa� ZP��-S GR�I`�SN�C I�aN�7qc�o'NE�. \=��� oEo�Cc� A�� <br /> GA`5�E Z� '�tP`11vJ T�'�� SN'�E — <br /> NOTE: WIRING IN NON-DW[LLINGS IS RE�UIRED TO FEE <br /> i 6E IN RACEWAYS, MC OR AC CA6LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I horeby r.ertily fhat 1 have rcad and examined fhfs appOr.afion and knnw fhe snnre to be l�ue�nd <br /> r.unoc(. All provisions n!la�vs and ordinanccs governmg this lype of work�vill be cornplefed <br /> �vhefhel speci/ied heroin on7oL The granhng ol a pentuf does nof presurne to give aulhNil y!n <br /> violafe or cancel the provisions o/any ofher stale or(ocal law regulaling consfruc6on or Ihe <br /> pe��ormance ol construchon. Thaf 1 am aidhonzed by fhe owner o/Ihis proprriy tn pe�lomi the <br /> woik lor whiclr application is made and I cornpty wi[h Ihe Sl�le ConVacto�s�:�w 1A.2� RCW and <br /> 29fl 200 WAC. <br /> �i�/ .�---� q(2I Jl, <br /> � Si9nature Date <br /> �oFvq -cc�t <br />