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. � <br /> ELECTRICAL PERMIT APPLICA�ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—uwvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT&CREDI7 CARDS ARE NOT ACCEPTED <br /> I ,. ;O`/ ��r�r/'�Fc'� ��i� <br /> PROJECT ADDRESS � � <br /> Owner Mail Address City Stale2ip Phone <br /> Tenant MailAddress City SWIe2fp Phone <br /> CSG' ���C7,^,�� ��S�,PU�`���c�N� S�✓�k.C+e�� �/� 9b'29Z 360-�S2-s'�S'Q <br /> Electrical Contracto� Mail Address City Sfate2lp Phone <br /> Gs�3�� �.� 9s.sr� 3 .��/c�v. �� <br /> Slate License Number Contrect Price of Work <br /> T��.�� ��ce <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriptian of Work to Be Done: ���s I S r/ • � C � �Q�// ��r �C �7'^ Q�S�Q�'/PC! <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN R,4CFWAYS, MC OR AC CABLE. ��,�� <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � � <br /> 1 hereby certify N�at I have read and examined this application and know the same fo be true and <br /> correct. All provisions of laws and ordinances c�oveming this type ol tvork will be completed <br /> wliether specified herein or not. The granting of a permit does not presumo to give authority fo <br /> violate or cancel the provisions o/any other state or local,law reguleting construction or fhe <br /> perlormance oI consfructlon. That/am aufho 'zed by the owner o(ffiis property fo peKorm the <br /> work/or which applicafio is mado 1 c ith the Sfafe Contractors Law i8.27 RC W and <br /> 296.200 WAQ /� �� <br /> 4 0 <br /> ' �r �//r, d�'^ - <br /> � ipnalure Dale <br /> [OSGB�-O�1 ( <br />