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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32 0 CEDAR STREET, EVERETT, WA 98201 <br /> `� 425-25?- 10 - FAX 425-257-8857 -www.evereltwa.org <br /> R ��pSti <br /> C G'S t ��� a z��'�� pppLIC�ATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> - " '�;-' �� < <«���� ��� lln� t ���,nt/ Gs/� <br /> PROJECT ADDRESS �') 2 L '� � <br /> �l ` i ' 7 � f � � r ��C.K^f l7 �r1Gl' <br /> �IL�� /C _�`� <�/>�•� c % �< c � �<<cf� n-� � �� <br /> Owncr A9ail Atltlress Ciry � Slate2ip �z — Phone <br /> 5— -�.�— <br /> � l�/��C__� �d'�`— <br /> TenaN Mall Address City Slele/Zlp Phone <br /> -,/�,l��l1.��L' � � ��rl�L� � "3��.� ��✓{'P���l4 { c' f�i<rl�,: ,�1� Gt/�! •j ��j <br /> Elacirical CoNractor hlail Address City Slateiu Phone <br /> ��✓l^v —�—`��/��' <br /> f� l�l'� � E � �15z� �.��l <br /> Slalo Licensc Number Conlrad Prico of 1^.'�xk <br /> �,�/�� 11��'�v �z, �� _ <br /> Proposed Use ol Building Contact Person (Plan Roview) ��i.( <br /> Descrip�ion of Work lo Bc Dono: ��_l �I �� � 1 '�Q�IC_! �1.7 I v1�� ��Z�����' <br /> �� ,��.r-� <br /> ,— <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAOLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby caiily fhat I have read and examined(h�s app6cafion end know Ihe same fo be frue and <br /> coirecf. All pravisions o/laws and o��iinances�orerning ffris fype o(woik will Ge completed <br /> whefher specdied hacin or nof. The c��anting o!a pernut does nof resume to giva uufhonty fo <br /> violafe or cancel fhe nrovisions ol nny other state or local law reguPfing conshuc6on or fhe <br /> pedornrance ol const�uclion. Th��f I arn nulhonzed by fhe owner ol B�is property fr peAurm the <br /> werk lor wbich apphca6on is made�nd I comply wilh Ihe Sfnte ConVnctors Law 18.27 RCW end .� <br /> 29G,200 WAC. .� <br /> � � / ��� /�� , ♦ <br /> L / <br /> , � � � <br /> - _ _ s�y�,���,�.1-�-- --- ��.« � <br /> ; <br />