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ELECTRICAL PERMIT APPLICATIOIV <br /> CITY OF EVERETT PERMIT �ERVICES � _i g�� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everetlwa.org E��b���L� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ,353 i ��t�cic ��. <br /> PROJECTADDRE55 <br /> ,�'x (��3��s 3s3! ��h� �� �-� k/�l- 9Baoi <br /> Otvner Mail Address City Stale2ip Phono <br /> �� � <br /> Tenanl Mail Address City Slale2ip Phono <br /> .�p/1�C0� l,r/C �33� G1/r�J�c.�dl�3r�//� /1IdK/� !!/�/ I�1S ��sJBzl3�3 <br /> Electrical Conlraclor Mail Address City State2ip Phone <br /> ��cs-�97/O,e <br /> Stale License Number Conlracl Price of Work <br /> CaK��Rc�+f� <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> Doscription of Work lo Oo Dona: � V�✓L�� ���'� � _����'S�/ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> DE IN RP.CEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 /y ' I <br /> I� I hrrehy certily thaf 1 have read and examined fhis applicntion end know fhe same to be(ruo and L �l/"� ( �� <br /> cor�ect A�I provisiuns ollaws and ordinances govemmg this type ol work will bo complefed <br /> �rhelher speaGed herein ornoL The c�ranfing o/a pem�d does nof r�resume fo give aufhonty to <br /> ��ioG3t�or cancel tho provisions ol:�ny other state or local la�v re�ulafing constructwn or fhe <br /> perfomiance o/consl�ucfion. Thot 1 am aufhorized by fhe o�sner o/this property to peAurrn fho <br /> �vuik I hi application ' ia and 1 corrply wifH fhe Sfafe Contracrors La�v 18.27 RCW and <br /> 29G. l0 '� . <br /> g���o <br /> � Sirnu;;u� Dato <br />