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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES q �a9��� <br /> 3200 CEDAR STREET, EVFRETT, INA 98201 <br /> 425-257-8410 - FAX 425-�57-8857 —www.everettwa.org �//c7q�/GS <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � , - <br /> ; � ' � -- <br /> PROJECT ADDRESS <br /> . . i ' . � �. __ . ' Gt�r ; ' Iv_,: [.JFr ib�,.-�� <br /> OWnef ` Mail Addross City Siale'Zip Phone <br /> j, . , / � l /� . „ ��' i,. � .. �ciF-',-. t.,-3 �fi.�au <br /> Tenant Mall Address City Slalo2ip Phono <br /> - i� ; /�fj iFYs � �C=l- ) r �,� <br /> [loclrical CoNraclor M11ail Address Cily Slale/Zip Phone <br /> r� � <br /> % ��� /�1 ��' 1 ' • � <br /> Slale Licens�Number Contracl Prico ol Wort: <br /> Proposed Use ol Buildinp Contact Person (Plan Review) <br /> DescriplinnolWork�oDnDona 'j� „ � ��,.� ��;..{ . �����;.'• � � " ��,-•�`. f''. .• . � �� - <br /> � _ ^` <br /> � . .� � .��.. �/J.. . '. !' ._.. i/�i'° LJ� � (}W/i���.— <br /> �_�.� � � �/ /� ` / ( 'liI +r ,A � �.,- ' <br /> fJOTE: WIRING IN NON-nWELLINGS IS REQUIRED TO FEE <br /> �E IN RACEWAYS, ��1C OR AC CAE3L[. <br /> I' CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> i , !hc�eby coriily fhef I fia��u m.id anJ ezumined fhfs npplla��tion nnd kno�v fhe snnie tu Ge fruo nnd � � ��– � �� � <br /> � , um�ct. All pro��isi�ns ol Imvs nnd ordinmices goveming this t}�pe of�rorh will be cornplotod <br /> �rhetnc�speci�ied l�cicin or not. Thc pron(inr�a!a pmnuf Aoes naf nesurno fo�irn aufhorify to <br /> ��wl.de or cancellhe �rovisions of any ofher sfafe or lor,al lmv rec�ul.�tinr�consVuc6on or fhe <br /> ����rlamnnce o(cons�nicfion. Th�if 1 am authorized b}�fha owner o/fhis property fo perfomi Ihe <br /> n o�k lar which npplication is mrido and 1 cnrnpl�ith fhe Stafo Controctors Lnw 1 B.27 RCW end <br /> , .'9G200WF�C. � <br /> , / �y . <br /> / �� <br /> — Si(�nnWro Uato <br /> �—__. _ —_._. _.__—_._-__— <br />