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--- - � <br />I <br />ELEC�"RICAL F�'ERMIT APPLICATIO�1 I <br />CITY C�F EVERETT PERMIT SERVICES I <br />32U0 CEDAR STREET, EVERETT, VVP, 98201 � <br />425-257-8810 - FAX 4�5-257-8857 — www.everettwa.ory (/ � 1 L/ � 9 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� �� u`��6 <br />/ i <br />i� .�: � ; -- ) <. 7" �I/I J <br />��-�j') /;> h4�Y' l�v"�. �(t(ir,� � -� <br />PROJECT ADDRESS <br />/ ! <br />l; , ll ,�� //C %1 = f'Y 7� � � %lv{ �,�/,f`,�,�'%" ,) -� � �,'��.e Gvi� ���� <br />Owner Mail Address Cil, StatelZip Phone <br />Tenanl <br />,` <br />Mail Address <br />CanUactor ' Afail Address <br />1i�4�fl/ L�'i (^G'���j <br />Stale Li �ns�r �— <br />��� <br />Proposed Use of Buildinc� <br />Description of Work to Be Done: <br />NOTE: WIRING IN NOI�-DWELLINGS IS Rf:'QUIRE7 TO <br />BE IN RAGEWAYS, MC OR AC CAB�_E. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City StalelZip Phone <br />��ii�lwa�dc�� G�%/� �G� zoGs y� , <br />Ciry Slate�Zip Phone <br />i � �. <br />L,��-�l �z�c - — <br />Cba r�P�e of Work <br />Contact Person (Plan Review) <br />I hereby certdy Oiat I have read and esarnined this a�plicafion and knu�v the same to be true and <br />cor�ecL All n�owsions o/la�vs and ordinances govei�ung fhis lype o( u�o�k will be completed <br />whether specdied herein oi not. 7he yrantin� oI a pernut does not resurne fo give aufhonty to <br />viola(e or cancel the provisions of any o(her state o� h.�cal law re�uPting consVuc6on or fhe <br />perlorrnance c! conslruc6on. That 1 am authorized by the owner ol (his property to perform (he <br />work Ior which applicafion is rnade and 1 comply with i!ie Sfate Contractors Law 1827 RCW and <br />29& 200 WAC. <br />, - . <br />�',./�z;-' 7j ly <br />�� <br />�! , ; <br />Date <br />FEE <br />� �.'r� �i �f - C� � � <br />