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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREI'f, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ���� ����--2� <br /> PROJECT ADDRESS <br /> ���r� S� 8�1Z5 ��%v'►Oay�� �r� �v�r�� �� �fZ53�6��Z2Z <br /> Owner Mail Address City Shale/Zip Phone <br /> Tenant Mail AdCress City Shafel7Jp Pho�e <br /> (.GSLo �v� �"�� ���t��,)iw��,l�-�,�►,v�� (J�n�, �'p f�J�- 4�zz�Z�s:���,� <br /> Electrical ContreCtor Mail AdOress City State2ip Phone <br /> sa�cor�q3�Ms <br /> State License Number CoMract P � e ot Work <br /> ��/U(�(ii7ibl�' CKvf.{' U�/IGJS�I�' <br /> Proposed Use of 8uilding Contad Person (Plan Review) <br /> //J� � / / <br /> Description of Work to Be Done: �\�G C� '1-Iv'� A.U�Q4 �� GtC� /n � iUIC <br /> � <br /> i <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE I <br /> I <br /> BE IN R,4CEWAYS, MC OR AC CABLE. I <br /> CITY OF EVERETT LOCAL SALES TAl(CODE IS 3105 /�/^�r Q II' <br /> I hereby ceRily that 1 have read end examined this applicaUon and know the seme to be hue and ��"1(/_J'I�J �� <br /> . correct. All provlsions ollaws end ordinances goveming thls rype o/woAc w1116e comp/efed � <br /> whether specifled herein or not. The granGng ol a permrt does nofpresume to glve authaity to <br /> violate or cance!the provisions ol any other state or local law regulaGng consGucfion or the <br /> per(ormance o/constructlon. That 1 am eufhorized by fhe owner o/this property to peAorm the <br /> work lor which application is made and 1 comply with the SYate Conhscfas Lew 18.27 RCW end <br /> � <br /> 296.200 WAC. <br /> � � � � � <br /> ' nature f�� Date - <br />