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( � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425 25%-8810 - FAX 425-257-88�7—www.everettwa.org <br /> APPL!CATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CA.RDS ARE NOT ACCE:PTED <br /> �'ho� � ,�,�q N.�.�.�� w�-y , L-�v�.��.-Ifi (�v�4, <br /> PROJECT ADDRESS � � <br /> �f��`��.Usv� �c�� �d• $r,,x a27� 5n,�,�,ti?<ti u)A 4R29i <3Go�sr s�i� <br /> Owner Mail Address Ciry Sfate2ip Phone <br /> Tenant Mall Addrese <br /> Clry Slate2lp Phone <br /> Ucvr��� <br /> EleCttiCal ContraCtor Mail Address City State2lp Phone <br /> �� <br /> State Ucense Number Contract Price of Work <br /> d�e� Sf4�t ' 4LLv r,u dl�)N�, <br /> Proposed Use of Bwlding Contact erson (Plan Review) <br /> Description of Work to Be Done: _ ��f QaLr-�,�5� �'LV�S � �c'S G.rc� 1.�,'�� I ��S�� <br /> � /�',, � <br /> �-2� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br /> I here6y ceRi/y that 1 have read and examined this application and know the same to be true and <br /> correct. All provisions o/faws and ordinances govern�ng this type of work wi/l be complefed <br /> whether speci�ed herein or nof. The granting of a permit does not presume to give authority to <br /> violate or cancel the provisions of any ofher state or iocal law regulating construction or the <br /> wo�k tor wh ch applieatiotn s made and I comply with fhe State ContrzctoroPLaw 18.2 RCW and <br /> 296.200 WAC. <br /> � <br /> v.s ��2 l�o�f- <br /> i r,ature pa�o <br />