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�- — --�- — — <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT. WA 982C1 <br /> 425-257-8810 - FAX 425-257-gR57—ww�v.everettwa.org <br /> APPLICATIONS ARE AGCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> P�r i � � � �U' �'�oft � ��JJ <br /> JECT ADDRESS <br /> ��� <br /> i Lu ��IS 2��., -r ��,,,a� �b �fil �r°r�n�t2� ���� �5��-3�7 f� � <br /> Owner Maii Address Ciry State/Zip ��'�3.��Phone <br /> S���iL\� � _ <br /> Tenant Mail Address City State/Zip Phone <br /> �G�S �tc� � (z��c �?l� �� �OrR� ,S �e,^tr�-n C,a1� 4zs4y47.?i� <br /> Electrical ConhactOr Mail Address City SW[e/Zip � Phone <br /> ��f t-S'r� rl � ( I� l) �� � n� <br /> State License Number —' Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: ��' � �`� e C�7' �j�( J f'r rS � ��� �✓�v�� <br /> /� � � � <br /> �i t�"-C�-G�.fJ' f � S o�� I I-L-l.� <br /> NOTE: WIRING IN NON-DWE�LINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> 1 hereby ceRify thaf 1 have read and examineo this application and know the same to be true and <br /> conect. All provisions of laws and ordinances goveming this type o/work will be completed � <br /> whethei specified herein or not 7he granting of a perm�t does not presume to give authonty to <br /> violate or cancel the provisions of any other state or local law regulating consfruchon or the t � <br /> peAo�mance o/construction. That I am authonzed by the ownei of th�s property to peAorm the \ <br /> work for which application is made and 1 cemply with the State Contractors Law 18.27 RCW and ` '`� <br /> 296�60�WAC. '\ \V <br /> U\\ <br /> ; �-- / / C'_ /' ,�d- � <br /> f�.y�._._. r�,��- I o / � b �� i"{ <br /> T � / <br /> ISignawre Date . <br />