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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �b _s—�� <br /> 320(� CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857 -www.everetlwa.org ���/D�--O � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 13L7 IIZ��� ST SF S��iTt. Cn <br /> PROJECT ADDRESS <br /> OWner M11ail Addmss Cily StatelZip ?heno <br /> IZ.�Y�� AN �3AI�Y.Zy I'r�A aiOM 132"1 IILTM STSE. S�E Cn 'FVflLf.T? i��A �t.e.er_way cnllYi� <br /> Tenant � hlail Addross City Stalo2ip Phono <br /> f3P��4IL GiriF_ i�Gv� PN?H A� n�g AW.ir��.��1 WA `78zZ,3 NcS1+�v ik4S <br /> [Iod�icalConlraclor AfailAddress City SWte2ip Phonc <br /> � c..t� <br /> gr�2ri2F5931m` IS"v <br /> St:�to Liconso Numbcr Conlracl Prico of Work <br /> Proposed Use o(Duildinp Contact Pcrson (Plan Revio�) <br /> Deticrip�inn ol Wark lo [?n pun�,� A� f1olW S � `lfRu/3E5 To �x�ST�nJG. fIR� dl�/L+'� S'/S?�� <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> i �E IN RACEVI'AYS, MC OR AC CA13LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � 1 hereby�uri�ty ffiat 1 have rcad and ezaminud fhis appOcafion;�nA hno�r the samo fo bo f�ue nnd <br /> corrocC All pia���sions o!laws anA ordinnnces govemine�fhis fypu o�nvrk will be cornplefnA CI�� � U �'� <br /> Iwhefher specilied herein or noL Thc prnnfinr�ol a pernut does nat �rr,sumn to�i��o aufhonty fo <br /> violafe or cancel fho xovisions of cvny ofher sf�te or locallmv repul,�finc�cansfrucfion or tha <br /> pe�lormance ol cons�rucfion. That I mn oulhorized by fhu owner o/this pmperty to palonn fho <br /> � �vork(or�vhich applicnfion is ntndo and 1 compty�rifh the Sfafe Conhactors La�v 1 t�27 RCW and <br /> �I 79G.200 WAC. <br /> I � <br /> � <br /> �-? <br /> � .�� . i/ J I�� S 1� <br /> _ _. _J�v�—.__�_rL/ Uaic -- <br /> , r,n.dum <br />