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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WP. 98201 7 � <br /> 425-257-8810 - FAX 425-257-8857 -www.everetlwa.org �� ` n <br /> APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PA1 (— ��O�`�� <br /> �/� -, .__ / <br /> l:� � �' �t�-� C_Y� C�� Y�V� <br /> PROJECT ADDRESS <br /> > <br /> ���^,.;�`_�. -�idc� L. � C� t.� l� �1`-1�.. Ll�'.=/1t i� t,_.it+ `7 ' �- 3 — <br /> Owner F.taill,Cdres's Cily Slafe2ip Phone <br /> TCn3nl Idnll Add�ess City Sle�elZfP Phonc <br /> J� C C b" �L1L'�Zp1" <br /> Eleclrical Conlraclor Mail Address City State/Zip Phone <br /> � S��D. �� <br /> State license Number Cor,lract Price uf Work <br /> Proposed Use o(Building Contacl Persan (Plan Revie�v) <br /> Description o(Work to Be Done: 1 ��Z..t C�I ��S ��r'�' L � � �' <br /> '�C"'11`/�. �Ll V7 ��✓{ 11 L� j�LJ �l{ (� V CA-[ � � <br /> I NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> B[ IN RACEWAYS, �AC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certi!}�Ihaf 1 have read and examined this applicalion and hnore Ihe sanie to bc true ano <br /> correcl. All provisioss of law md o�dinances governmg this fype o!wo�k will be cornpleted <br /> whefher specibed liere%n or not The c�ranfing o/�penmf does riof presusie fo give authonq�1�� <br /> violade or cancel(he Provisinns o(any other sfafe or local law regidating consfnicfion or fhe <br /> per/ommnce o!consf�ucfion. Thaf 1 am authonzed by the o�vner o!fhis property fo peiform the <br /> work lor n�hich application is maAe and 1 compty with fhe Sfate Confracrors Law 78.2i RCIY and <br /> 296.200 WAC. <br /> ��,� � � � -7- �=G- <br /> i iature � Oate <br /> � <br /> ( !`��� \� .) <br />