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:�� <br /> ELECTRICAL PERMIT APPLICATION� <br /> CITY OF EVERETT PERME'T SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM uL � c��-D.� <br /> :_ i c_)�. ��- ,�j�c �`._r-)v�. � I._ I <br /> PROJECT ADDRESS I <br /> _.>-1L`;�'� � l l.�'- ti�—C l-4 �—'`�t �S v� �--'r� <br /> Owner Mail Address City State2ip Phone <br /> Tenanl Mail Address City State2ip Phone <br /> � �-' � � 2 <br /> Eleclrical Conlracicr Mail Address City Sta:e/Zip Phone <br /> �� , �-h—ll I <br /> Slate License Number CoNracl Price of Work <br /> � IU�SC' :_'��� � -Y� jl-� <br /> Proposed Use of Building Contact Person (Plan Re��iew) <br /> Description of Work to Be Done: ��� C;U:�C l-�TS � CS2 2 Re�1�cJC;.ti.-15 <br /> f 4:�ti1 (� ,�rr��,-. l �-� �-� � �-c 1� ,n� � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> � B[ IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> �,I� I hereby certily thaf I have read and examined this applicafion and know fhe same fo be true and <br />� correcL All provisions o/laws and ordinances c�ovemuig this type o(wo�k will be comple(ed <br /> j whefher specified herein or not. The g�anfing ol a permrt does not presume to give aufhonty fo <br /> i violafe or cancel the piovisions ol any other state or/oca!law regulating construction or fhe <br />� e• perlorniance o/cons�ruction. Thaf I am eulhorized by fhe owner oI this property to pedorrn the <br /> work!w whiG�applicafion is madqand 1 comply wilh the Sfate Contractors Law 1827 RCW and <br /> 29fi200 VVAG . <br /> ' i <br /> � � l '�� ���'I <br /> �.-�-. ;., rr��Ut,� ' �- G <br /> Signature Date <br /> � (1�� <br /> ,.�, <br /> .,, <br />