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;� <br />� ,��'. <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERViCES <br />3200 CEDAR STREET, EVERETT, WA 98201 �� _ � 2- OO <br />425-257-88t0 - FAX 425•257-8857 - www.everettwa.org <br />� 0�l1--o6Z. <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />i <br />,��1 ��„ � ,_J � ��� �f l <br />PROJECT ADDRESS <br />/ `' ( - �'C- f ��c � �, � I ( � ---- <br />wnOr Mail AAAicss <br />Tenanl <br />Mail Address <br />Cily <br />Clly <br />SlatelZlp <br />Slale/Zip <br />Phone <br />Phone <br />� �/ ,.,� �/ <br />� rr!' ( � ��c-'C"�l � C ��� �C� �f' G ��v� �/�Y�f7 �•�f`r•c � �'�� �Y '1 �l � <br />Eleclric�l Conlrar,tor Mail Add�oss City Sta1F'Lp ?/ �-�o . <br />y� <br />(�(�/�' =L C� ������ /p��-�CG% l��l% 11 �i�C <br />Stalo Licr�nse Nuntlmr � Conlracl Prico o( Work <br />� l <br />1 (— > <br />Prupnsed Usc of [iudding <br />�escriplinn ol Work to Oo Dono: <br />Contacl Pcrson �Plan Revicw) <br />NOT[ WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />f]E IN RAC[W�YS, �1C OR AC CABLE <br />CITY OF FVER[TT LOCAL SALES TAX CODE IS 3105 <br />I hivrb� � rrt�h Ih,rt I h:n o rrdd dnJ examined thrs npplrcn6on and Fnow Ihe sanre to be frue nnd <br />��,norf �ln pi� �� isi,�ns �,l l;uts anJ urdm,inces governrng tlus fpp�� ul �ti�urk will be carnpleted <br />�thcfhr� sp��r,i6��d h��rain o� nut. ihe� yran(mp o( � ponnd does nof iies�r.no fo �ive authonty fo <br />� ndatF ni cm�c��l lhe vuvisions o! any olher state or lor,al Inw regu�ofirrg construc6on or fhu <br />J�evfomiein<c nf rons�rur.tion Thnf I ern aufhon�Pd 6y fhe ow�inr o! this p�operiy to peiform the <br />�rork for �t�hich npp6cefion �5 madr� and I r.omply wifh the Sfafe Conlractors Lnw 18.27 RCW anA <br />; 9fi 200 WAC- <br />�. ':-7 <br />_--,4-�C_ . y-_�___ .. <br />�� tiiqn.itin�� <br />r i <br />� � � j - � oo�% <br />FEE <br />i_�1Si�� ���,: <br />