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� < < <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM!AM TO 4 PM -DEBIT 8 CREDIT CARDB ARE NOT ACCEPTED <br /> �1��� A Inc� ,' �-�itt� � x � t�i�- 1,�1A �8�0..�.� <br /> PROJCCTADDRB 8 <br /> "t3'� 1 \ ��(��- �'' ��o/D f��,�.��'�"�"vPie�GUf� �'S�v <br /> Owner Mall Addrass Cly StstelLp Phaie <br /> Tenent Meil Addrese Gry StatelLp PMne <br /> El9dntel ContfeCior Meil Addrese City 8lelelLp Phone <br /> State License Number Contiact Price of Work <br /> Proposed Uso of Bullding Conlact Person (Plan Review) <br /> l Q - � - <br /> Descnption of Work to Ba Done: .r �m� _ ��]�Q/ <br /> v <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE 18�105 <br /> 1 hereby certily fhat I have read and examirred fhis applicatlon end know fhe same fo ba frue end <br /> correct. All piovisions ol Inws end ordinences goveming fhis type ol work wlll be complefed <br /> whethor spacified herein or nof. The granfing ol e permrf doos nol!�resume fo plve authorRy to <br /> violate or cancel fhe provisions ol eny other state or locel lew regulafinp construction or fhe <br /> perlormance o/cronstrucfion. That 1 am aufhorired by fha ow�r o/fhis piopeRy fo peAonn tAe <br /> Z�fa which a 'cation is made end I comply wifh fhe Stefe Con6ec(ors Law 18.27 RCW and <br /> < nalure D /�� <br /> �d �G� <br />