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i- ---- --� • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CGDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> 327 �f� � �12 S 1 <br /> PROJECT ADDRESS <br /> � � c ���n1� �sNAVEt2 yZs 3yS" Zg33 <br /> Owner Mail Atldress Cily State2ip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> �n� � iti;Y ��Cin� L. <br /> Eleclri.al Contractor Mail Aedress Ciry StatelZip Phone <br /> TM< V{ ti► � LoC� 3 �-► � — <br /> State License Number Contract Price of Work <br /> •S f Q- <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: lN }�+ �- �) �+�— — <br /> ► - �d� 1�MP Q� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. S j p0 <br /> CiTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> i 1 hereby certily thaf I have read and examined this application and knnw the same lo be Vue and <br /> ir_orrect. All provisons of laws and ordinances governrng this type of imo�k will be completed <br /> Iwhether specilied herein or not The granting ol a permrt does not presume to give authority to <br /> violate or cancel the provisions ol any other state or/ocal law regulating construction or fhe <br /> performance of construction. That 1 am authorized by the owner of this property to peAorm the <br /> � work for whi�h application is made and 1 compty with the State Ca�tractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � � � /O- ? - (1 � <br /> Icnature r.,...__._ -/ Date � <br /> � • �� �/l� <br />