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ELECTRICAL PERMIT APPLICATION <br /> CITY nF EVERETT PERMIT SERVICEB <br /> 32fiU CEDAR ,r,TREET, EVERETT, WA 98201 <br /> 425-257-5810 - FAX 425-257-8857—wwH�.everettwa.org <br /> APPLICATION9 ARE ACCEI�TED FROM A AMI TO 4 PM <br /> �� /�n��� ��f S. � • -- <br /> PROJECi ADDRESS �/p�� a��-d6 ?� <br /> 7 <br /> �P�c� ��riH� ,�3a5 /a>� S�C. ��r_�e�7� �,)�q �'8aa8 — <br /> Owner MaIIAdAross Clly Slate2lp Phore <br /> Tenant hlall Addre=s Ctly Slale/Zlp Phone <br /> Elociric�l Contractor A1ail AAdress City SlaleiZip Phona <br /> Slale Llcons�Number Contract Price of Work <br /> _��i� ���r6 �R,sL�R �► � <br /> Proposed Usa ol8uilding CoMact Person (Plan Roview) <br /> Oescripllon ol W ork lo Do Done: _����1��J � _�-� � ' / l�b W�IXlS � U=��i Na �--(�_ <br /> � ��� ��d_�����IA:� � � �U� �5 d/; �IQ{7 f< <br /> NOTE: WIRIN(i IN NQIJ-DW[LLINGS IS REQUIk[D TO FEE <br /> BE IN RACEWAYS, MC OR AC CA�LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I herrby cafily fhal l hnve rvnd eM exomined this epplicntion end know tho samo fo 6o frue and <br /> conec(. All provislons ollaws and ordinances govoming fhis 1}�pe o/work will he conrpleted <br /> whethc+r specllled horoin or nof. Tho granting o/e pemm does nof prusume lo glre eufhonty to <br /> violafo or cancol fho provisions oi any other stato or locol law regulefing construcNon or fhe <br /> porlom�ance o/const�ucfion. That 1 am euflro�ized by fho owner o/this property to pedorm fho <br /> work foi which npplicnfion Is rnedo ond I comply wifh fho Stafe Confracfors Lew iB.27 RCW anA <br /> 2962u0 WAC. <br /> /�l1. . �'��/'J��.� �. ���U , ���7 J� �� <br /> SiE7naWre Date <br /> � _lp�- <br />