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! <br /> � �� �-_������C-�� 1 <br /> -�'� —DELECTRICAL PERMIT APPLICATION <br /> (EB 2 2 2�06 CITY OF EVERETT PERMIT SERVICES i <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> CI �. 'Y OF EVERETT 425-257-8810 - FAX425-257-8857 -www.everettwa.org <br /> Fr� meerinqlPublir. Sr.nur.r,s � <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED i <br /> � <br /> 2 � ► � 26 tti St � �. <br /> � <br /> PROJECT ADDRESS � <br /> I <br /> � <br /> La�r 2M 2 � 13 26th S� E �� ref�, uV�4 - qg20I �25 - 258- 35 <br /> Owner Mail Address Ci� Sta�e/Zip Phone I <br /> N � I <br /> Tenant Mail Address City Slate/Zip Phone <br /> �qn�� � ��eftri( �vC� 1335� N � I6rh St� �2II � ��� e, w�� � 80�5 <br /> Electrical Contraclor Mail Address City State/Zip Phone <br /> ��NecEs� tilac y-3ao. 00 ��5-56� - � , � <br /> State License Number Contract Price o!Work <br /> SihqlP� fUmilU - ��Side►� �la � I-i S h r� �►� h <br /> Propos Use f Building ontact Per n (Plan Review) <br /> Oescriptian ol Work to Be Done�. II Pi � I V' �� L O�� M �� P�n �I � M e� e r � <br /> NCTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 4E IN RACEWAYS, MC OR AC CABLE. <br /> � 5. o0 <br /> �ITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I he.•eby cerfily that 1 have read and examined this application and kno�v the same to be true and <br /> correcl. All p�ovisions o!laws and ordinances governing this type o/�vork will be complefed <br /> �:�helfier specd�ed herein or noL The granfing of a pemut daes nof resurne to give aulhority to <br /> violate or cancel llie p�ovisions ol any other stafe or local law reguP(ing cons(ruc(ion or(he <br /> performance ol constniction. Thal 1 am authorizod by the owner oRhis properiy to peAorm the <br /> work lor which applicalion rs made and 1 comply witfr fhe Stale Confractors La�v 18.27 RCW and <br /> 295200 WAC. � <br /> �iw� 2 2 o a 6 <br />� I Siyna�i Da e <br /> � <br /> � �.f��c� —/ � � <br /> L . - <br />