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� <br /> ELEGTRICAL PERiVIIT APRLICATION � <br /> CITY OF EVE�2ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - �AX 425-257-8857-www.evereriwa.crg <br /> APPLICA710NS ARE ACCEPTEO FROM 8 AM TO 4 PM <br /> F���G ly ����� �J�i �'v� ��IQa�C�E ���_q���-��� <br /> PROJECT ADDRESS I <br /> �� i <br /> �G'�� u 1 TlW(1 �l� ����X �i���� ��)Q 1' I�(� �l�a (��I�� _ " � <br /> r Mail Address Ciry StatelZip Phone`� <br /> Owner =� ������� <br /> Tenant <br /> Mad Address City StalelZip Phone <br /> Eleclrical CoNraclor <br /> Mail AdOress Ciry State2ip Phone i <br /> State license Number Contrad Frice of Woric <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: <br /> �,I � l l . '\ �` _ .c i C — � <br /> � �, � � <br /> �� . <br /> 1 �\�k � `,r9 � ,� �x•,�^a 1 � lY� t �'c <br /> �— � � � <br /> ,� ,� <br /> -����_�t-�� �-�- - <br /> NOTE: WIR!'.G IN f�ON-DWELLINGS IS REQUIRED TO FEE <br /> Bt�'v RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> co�iecfy All provisions oflaws a d ordina��ces govenu ig fi s�fype ol w�rk wi�f becromplefed and <br /> whefher spec�(ed herein or.noL The granting of a pe�md dces not rEsume ro give aiAhonty to <br /> violate or cancel flie provisions ol any olher sfafe or local law reguPim,q constn�ction or the <br /> pe�tormance o/conslruchon. Thaf 1 am aufhonzed by the ownar o/fhis property(o peAorm the <br /> work lor which applicafion is m e a�d 1 com�x wifh the Stafe Confracfors Law 7827 RCW and <br /> 00 WAC. � ' <br /> � � <br />- � ' .'l� � '� /� /I � I (J � � � <br /> �.;�gnatuie � � Date �O� — <br />