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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT P�RMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX A2S257-8357 — vrrr�v.evereth��a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM �,��-�` � c I <br />id- <br />Lc�yaB � -�-�`—�c � <br />PROJECT ADDRESS <br />O.�mer <br />Tenant <br />Elec:rical ConL•actor <br />i.ta�i ntldress <br />r.!a�� �da-es5 <br />�t z,,�.,Y,%�q`a-� �� <br />State L�cens^ Numher <br />�.s.aeY.�.o,\��_ <br />P�opo,ed Use oF Butld�ng <br />prscnp;��on of Work �o Be Done' <br />Cuy <br />c�iy <br />Cdy <br />g �1 �3 <br />SlateiZ� <br />�as,a�� c�Boa <br />i 4 4•9y3 , �n3o� <br />SlaltlLp <br />ohone <br />P00�? <br />i L���. � F� 1 �� <br />sia�e2io aClc ;��1 B'�"CC� <br />3���, ooe�. ���_ <br />Contna Price ol Work <br />,�, A'� XY�,t--� <br />ConlaR Per50n (P18n RCwew) <br />C'eC�.[2 �2 �- -��c.�..-� _ <br />NOTE WIRING IN NON-DWEILINGS IS REQUIRED TO FEE �� �� <br />�3E IN RqCEWAYS. MC OR AC CABLE. ' <br />CITY OF EVERETT LOCAL SALES TAx CODE IS 1105 <br />f hereby ttvfily ;hv( ! heva read and examined Mis appllcafion and knovi tAe sama fo be lnr, �nd <br />cor��t. AI! provisions o� �aWs ��nd ordinancss 9ovem�nq rh�s rype of work „dr be. completed <br />whenosr spuc��ed hcrern or nef. 7'he yranfing of a permrf tices not presume Fo 9�ve authonty �o / �� � <br />�iplafo pr C��Cr/ (h@ prov�sion; of any ofhur sfafe orlocal7avi repufefing co4st�ucHon or (he �� �_. � S <br />per!o.mnncrr o�construction Tha7/ am aulhonzed by the ovmerofth�s property lo peAorm the <br />w�k 1or which aop!lcahon �s m3�/e ond 1 compty �.vrfh the Stare Contrncfors Law 1D.21 RCW and <br />� 'N�n wnc <br />