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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � v a�d <br /> , �,.�� „ `� <br /> , <br /> � � �i i �� <br /> � � � <�=<<< <. 'r,�.� /� <br /> PROJECT ADDRESS �J <br /> '� � � <br /> i <br /> : i . ,;� l,�- � 1�:4�i �� i�--;� � � - '�_'GI� �Lc� ����/ CIJ�� � � f1. �''�;C ' <br /> Owner Ivlail Address �C'y Stale2ip Phone <br /> �� , <br /> :4 �1�1_4_ /�`�, /�/J '��_ . <br /> Tenanl MailAddress Cify SWte/Zip Phone <br /> , ". - /1 � �) <br /> _ � J)i-�ll���� -�,�1-JI l (/�� �•li��i �`� (� l��l�l��l-� f � � �a Y ���i � <br /> Eleclrical Conlrador Mait Address City State2ip Phone <br /> ��v.' :d7r �/' �� 1�/�, l � � L�� F:�-l�� [�[ � <br /> Stale License Number � Conirect Price of WorY. <br /> Proposed Use of Duilding Conlacl Person (Plan Review� <br /> Description of Work to Oc Done: �(1 ._� ��iJ l �I(.i��K� `;J ��,�, }t,� ��, /�-- « , { • <br /> J <br /> NOTE: FVIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> '9E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify fhat 1 have read and examined this application ard kno�v fhe same to Ge Irue and <br /> corrocl. All provisions o(/aws and ordinances governing this type o/work will be complefed <br /> �rhether speaGed herein or noL The granting o/a permif does not presume fo give authonty to <br /> violafe or cancel fhe provisions ol any ofher state orlocallaw regulatinq consfn�ction or the <br /> peiformance o/construction. Tha(I am authonzed by the o�rner ol(his property to perlcnn fhe <br /> work tor ivhich applicafion is made and I comply with Oie Sfafe Confracfors La�v 18.27 RCW and <br /> 29G200 WAC. <br /> � �i.Ci_ L-r ) I C- 1 ��4 � r, � � ( ����� -' <br /> SgnaWre Date <br /> I������ � r? `{ <br />