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I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT �ERMIT SERVIC�S <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEFTED FROM 8 AM TO 4 PM <br /> �- �--., �� C �/^ �e�� Y"� �� <br /> `�U_ c(/� G <br /> PROJECTADDRESS v � <br /> �C� SIG'1 (�lflSlD✓1 5��`� �ve�� �eeh U-�.,� �v���'� � ►,��. ���z�:S <br /> Owner MailAddress City Stat�.ip yZ�. P3�3_3 �� <br /> Tenant Mail Address Ciry State2lp Phone <br /> �.,�'�+�c�9 1, ��,�,��n� �nc PC� QG� �Iv7 ����,n��� G�g, j�'��33 <br /> Eleclrical Conlreclor �Mail Address Cily SlaleRip Phone <br /> CilEc� �: 1�� �izzMS y�sc; �' <br /> 36 � -4 �= I-yla <br /> Slale License Number Contract Price of Work <br /> �2+� 0�✓1 �v� <br /> Proposed Use of Buiiding Contacl erson (Plan Roview) <br /> Oescriptlon of Work lo Bo Done: '\L �C' �� s h�� �/C��1 ✓) �� <br /> � NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> DE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 /) <br /> 1 hereby certify thaf I have read and exarnined fhis application and know tho same fo be(ruo and �I D�- v � <br /> conect. All provisions o(laws and orrlinances govemmg this type o(work will be complefed <br /> whether sper.ified herein or not The granfing o/a pernut does not presume to c�ive authonty fo <br /> vlolato or cance/the provisions olany ofher state or local law rec�ulating consfruction or the <br /> peKormanco of consfruction. That 1 am authorized by the owner o(this property fo per(onn the <br /> �vork!or which application is rnade and 1 comply�vith tho State Contractors Law 18.27 RCW and <br /> 296.200 WAC. �/ <br /> �-�i�/' / <br /> ;� �%-; ��- l3 l C� <br /> Jsi�� r✓ � oa�e <br />