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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �`a � <br />3200 CEDAR STREET, EVERETT, WA 98201 �`� <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org ��gOC _/ 6� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1 C, <br />;� o ( �- �' Y =; �r- <br />PROJECT ADDRESS <br />j-�� �� �% � <br />�J , ,.- ,. _ � � � � �l� e <br />Ovrne� D.1ail 4ddress <br />Tenant <br />G I�! <br />hiail Address <br />C�... J:.. {.,�. 1 _` <br />ConUactor hlail Address <br />�;f��LT/Cc� c_ ,�y (�� <br />Slate License Number <br />�: ( � <� <br />Proposed Use oi Buildinn <br />�G _ ,. '% <br />/l ��.. E�'_ � <br />Ci�y <br />City <br />�,-�� :,,�<<::rS.� ���4: /i <br />Description o( Work lo Be Done: 1�.�� '� � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN FACEWAYS. MC OR AC CABLE. <br />City <br />�:, �: �, � � c C <br />Slale/Zip <br />State,Zip <br />Phon^ <br />Phone <br />�rc y��u�� grG f/s-�:J <br />State/Zip Phone <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />� .. , ,� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />i hereby certily tlmt f have read and examined this appfication and know the same to be Vue and <br />conr.r,t. All provisions o/Imvs and nrdinances governing this type o( �vork will6e complefed <br />�.ahelhm� specilied herein or noL The �ranting ol a pernuf does not nesurne to give authonty to <br />violafe or cancel fhe provisions ol any other stafe or local la�v regulatir.g censtruchon or the <br />perfonnance ol construchon. Tha( 1 am atrthorized by the o�vner o/ this properiy to perforrn the <br />�•:ork Ior which application is made and I cornpty wifh Ihe Stafe Confracfors La�v 18.27 RCW and <br />296. �UC WAC. <br />� _�,f�z'-�`- ��� I�'?%�u �� <br />FEE <br />���;�; - ► � � <br />