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ELECTRICAL PERMIT �4PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everethva.org <br />ADDRESS <br />�nc� <br />Tenanl <br />D�{+- }oC�i�rl <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�,U <br />Mail Address <br />������-I <br />� �`�I <br />������-�� <br />Slate/Zip � Pnone <br />�1�1— l ��� � 7 <br />State2ip <br />Phone <br />� � �+vJ <br />(��� � #�-1��\�-- ` �l-��)'c�0 - <br />State License Number � Contract Price of Work <br />�� Proposed Use o( Building <br />Description of Work to �e Done: <br />— �� <br />Conlact Person (Plan Review) <br />r <br />NOTE: WIR�NG IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVER�TT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi(y that I have read and examined this applicntion and kno�v Ihe sarne to be we and v�- L, 2� <br />r.orrecL A/l provisions ollaws and ordinances governing fhis typa af work will be completed ��Z �\ ` <br />whefhe� spec�fieA herefn or noL The granfing ol a pemul does no( resume to give aufhority to <br />vio/afe ur cancel fhe provisions of any othcr stafe or local law rnguPfinr� consWction or the <br />per/om�ance ol construcfion. That 1 am aulhonzed by the o�vner ol fhis roperty to perform fhe <br />work lor which application is mado and I comply wifh fhe Sfafe Confra,:Prs Law 78.27 RCW and <br />296. z00 ytG,7C. <br />2 <br />100I100'd OZ�� 60 Zl c'1O1190lEO :LO16989Zb �(eu°li���W°�� <br />