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� <br />r <br />ELECTRICp►L PERMIT APPLICATIOR� I <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org 3` ��_ � Q <br />i <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C D�p �,� S� <br />;� �J ��� ��,� �L�� ,�j'j". I" U Lr ,� � ��tt . ���Sa bl <br />PROJECT ADDRE55 <br />Mail Address <br />c��y <br />�/�% j-.�2='�`f`l� <br />5C?-+)'� c�.4 .'�.�'k,V� _ <br />Tenant Matl nddmss City SIatMZip Phonc <br />u <br />Contrador <br />License Number <br />Pr000sed Use of Building <br />�d�.�.,El���' no <br />Descriphon of Work lo Be Done: <br />Mad Address <br />e,GIA��- i n SP�'vi �- <br />City <br />State2ip Ynone <br />Coniract Pnce of Work <br />Con�acl Person (Plan Review) <br />�i "�, t '.� r'�uf �fZ� (if��� <br />tir�'/�cl�" h�,� �4'�/1 h���iz a� <br />r'Ir,'ii.r� �L+� Ih�n�: ��_ <br />���; � r�.s ���r� o at 1�.�3. lU �au9� �or 1i9kfs _, - ., <br />NOTE: VNRING IN NON-DWELLINGS IS RE�UIkED TO FEE � <br />BE IN RACEWAYS, MC OR AC CABLE � <br />CITY (iF �?/PRETT LOCAL SALES TAX C06E IS 3105 <br />I hereGy cehily Ihaf 1 I�u>� mad and c xanuned this apphcahon and know fha same to be IruU and <br />cnrtecf. All prowsions o! Iaws :�r.d ordinances yovemmg Ihis ty�: ol work will bc complefed <br />whefher speci�ied herein or nof. 1 ii� y�anling o( a pemid does no! presume fo grve aulhonty lo <br />viotale or cancef fhe provisions oI any ofiii;; ;�afn or local law m9alabng consfruc7ion or (he <br />peAormance o/ construchon. Thaf I am aidhnnzed Ly the.ownr.r oI fhis property fo perform the <br />work lor wliich applicafien is nmde and 1 comply wifh Ihe Jlate Confractors Law 1827 RCbV end <br />296200 bl'AC. <br />o ; _ , � ,:� <br />�' <br />