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ELECT4ICAL PERMIT APpLICATION <br /> CITY UF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE"f, EVERETT, WA 98201 ' _ �[.� �O � <br /> 425-2.i'-8810 - FAX 425-257-8857 —www.everettwa.org <br /> C v'�o I-o <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �.� / � � �� S: L-.=_ <br /> �V�� i <br /> PROJECT ADDRESS <br /> /�7�-��0 <br /> Ownef Mail Atldress City State/Zip Phone <br /> Tenanl Mail Address City State/Zip Phone <br /> �l�„-f�� L l�"< , �J� �<sa�f . ,1��F/, J%� ,�c��� �� f�z/� , <br /> EleclfiCal ContraCfor Mail Address City Slale2ip Phone <br /> �� <br /> c��..aL �- �03 ��� _73� - — _ <br /> Slale License Number Contract Price of Work <br /> �� // _�-- <br /> VCifP 1'Y%�I �O �yr�iY•^ P��a. _ <br /> Proposed Use of Building Contac!Person (Plan Review) <br /> /� �— / <br /> Description o(Work lo Be Done: � �C'� ��/ �x`� �/ _�/1,j ai�/ 07iC <br /> (cU �'ra.� Su!� �r.,<ae � , �f95�C, /� �, - 02� �� � ���^���, , �s, <br /> ���Sfi� �� �Ki / S��J LIS <br /> .. <br /> NOTE: 1NIRING !N NON-DW ELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVER�7T LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fhat I have read and examined this application and know Ihe same fo be Vue and <br /> correct. All provisions o/laws and ordin,inces govern�ng this type o(wo�k�rill be completed <br /> whether�eclRad herein or noL The c�ranfing ol a pennrt does not resume to�ive authonty to <br /> violate or cmicel fhe p�ovisions ol any other state or local law reguPating construcbon or the <br /> perlor ianr.e o;consUuc6on. That 1 am authorized by fhe o�vner o/(his property to perfurm the <br /> work or which ap�Nication is made nd I comply�-ifh the Stale Contraclors La�� 18.27 RCW and <br /> 296. 00 WFlC. ' J <br /> \ <br /> L�� /, �/ � � /^�� ���� /� <br /> Signuture Dale <br /> �^ <br /> �,���;� . ,�,.� <br />