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� � - <br /> ELECTRICAL PERMIT APPLICATI4N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810 - FAX 425-257-8857-www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT d CREDIT CAR�S ARE N07 ACCEPTED <br /> � r ���' ! ;� � G L��� A L�� <br /> PROJECT AODRESS <br /> � <br /> � icN�� �� �A ���i � yG� oi /ll�� � �� t ve C✓�r��-� w� q8zo3 <br /> Owner MailAdtl�ess ' City SIa�e2�p Phana <br /> �' ZS._'�S 2 -y,l, 7 <br /> ��.�� ��� �� <br /> Tenen� MndAddress Clty Slutn/Zip Phme <br /> j .� <br /> EIeCVICaIContraCla MailAddress Gq� Sisle2ip Phone <br /> �!�q <br /> Slale License Number ConUacl Pnce o1 Work <br /> Noi11N� <br /> Pmposed Use ol Budding ConUct Person (Plan Review) <br /> Descnplion of Work la Be Oone. _�� l.1 I i L+t �� � � �'C'�(� j� I <br /> NOTE: WIRING IN NON-DWELLINGS !S REQUIRED TO FEE � <br /> BE IN RACEWAYS, MC OR AC CABL[. <br /> CITY OF EVERETT LOCAL SALES 7A7f CODE IS�705 � <br /> 1 heiwby ceriAy Ihaf 1 have rneC nnAaxamineAlh�s applrcahon and hnow fht+same to be Ime and <br /> correct. A/l prowsiont ol laws and ordmences goveminy Ihis fype of work w;ll be complefeJ <br /> wAafher speicAierd hniern or nal. The granl�ng o!e perrmd davs nof piesume ro yne eulhonty f� <br /> vrt.(cle or cxncel ihe!�mvisions o!any olher slafe o•bcnl law re,yulafing construcYlon or fhe <br /> peAormanr.e o!consfruclpn. Thal I em aufhonzed by fhe owner ollh�s p�opahy lo peAam Ihe <br /> woik/or whrcb apphca6on is maAe end I comply wifh Ihe Slefe Contreclors Lew iB.27 RCW and <br /> ?96.?OQ WAC. <br /> �- � - i ; /`��� g � � <br /> � r. .�C � CC�L . �� .� Ci C��. �� S � � � �� � <br /> Slgnature Uat <br /> �� �`�j�- /(�� <br />