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�� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8610 - FAX 425-257-8857-www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br /> ���2 �swrrr �C <br /> PROJECT ADDRESS <br /> ON71Bf Meil AAdress City Stete2ip Phone <br /> �►+� sF ,�ixse�c.� �l�oZ /lrw,rr�a �i�e�r, w�Azo� �oZsss` <br /> Tenant Mai�Adareas ciry state2�p pna�e <br /> ADT 11824 North Creek Parkway North 11105 Bothell, WA 98U11 ��'��� <br /> Electricel Contredor Mail Addiess CIVy State2ip <br /> ADTSESI03205 <br /> State License Number Contrart Price of Work <br /> Proposed Use uf Building Cantect Person (Plan Review) <br /> Description of WoAc to Be Do�e: �� <br /> GU1R6 I[ott7Ei¢. To AKi26�w�. ?t.�raMt. p/,,lt'Z. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL S/LLES TAX CODE IS 3105 <br /> I hera6y certily that 1 have read and examined this F pplication and knc�.�the same to be hue and <br /> conect. All provisions o/laws a�W ordinanoes goveming this type of w-�c will be complefed <br /> whefher speci�ed herein or not. The grenting oI e permd does not resume to give authority ro <br /> violafe or cancel the pmvisions ol any ofhar stata or local law raguPating construdion or the <br /> per/ormance o/construction. That 1 am authorized by fhe owner o/this property to peAorm the <br /> work/or which application is made and 1 compfy with the Stete Confrnctors Law 18.27 RCW and <br /> 29F.''00 WAC. <br /> 'z/�-S'�aS' ,)�)(� <br /> ignalurn Dalo ,(C I <br /> r i% v <br /> J <br />