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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �z_���g <br /> 3200 CEDPR STREET, EVERETT, WA 98201 0812-0�6 <br /> 42�-257-8810 - FAX 425-257-8857 —www.everettwa.org � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � -72� �A jc;:�5 <br /> PROJECT ADDRESS <br /> �Z 7 ���� �-'� 7 7� � �l't"��� �G 1���'c�c � 7�'71' <br /> Owner tdail Address City Stale/Zlp Phone <br /> P���-w � � , s m � �� <br /> Tenanl ��toil Addr�ss Cdy State2ip Phonc <br /> �� -z3s� <br /> I���� r tn 1 � �-�.i 2 r � °�'� 'L--�TI �'� ��T7 `�� / <br /> Electrical Coniraclor A1ail Address Ctly State'Zip Phone <br /> �2r1�� �I C`��� ) �L^�.��--� � <br /> Stat License Number Contracl Price o(WorY, <br /> L� 1=,�1 L�-- <br /> Proposed Use of Buildiny Contact Person (Plan Review) <br /> Descriplion ol 4Vork to �e Done: T'�G��N�_ ���1�-�`�7� ieJY 1 � ����jT//�i <br /> �� .� � TC <br /> NOl"E: WIRING IN NOIJ-DWELLINGS IS REQUIRCD TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE iS 3105 � <br /> � i -�' <br /> 1 herahy ceitily t1�af 1 ha��e read and examined this applica(ion and kne�v Ihe same fo be Vue end /'�.,)���'�� � " �'�� <br /> cormrL All provisions ollau�s and ordinances governmg fhis f}�pe ol�rork will be rnrnplefed <br /> �rhefher specificd he�ein or noL The granting o(a permd does nof resurne to give authonty fo <br /> violafe or cancel the provi.ions ol mry other stafe or Iecal la�s reguPfing const�uctiun or fhe <br /> pedominnce o/construcfion. That I am nuthonzed by the o�rner ol this p�operty fo peAcnn the <br /> �rork lor whieh application is made and 1 crnepl}��sith the Sfate Cenfracters Low 1827 RCl1'and <br /> 29fi 200 WAC. <br /> 7 <br /> --- .—r ` � Z �'��� <br /> l,-rn-- —'`y�' ia��_ <br />