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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.everettwa.org � ��Q I�Og�j <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM <br /> 2 - <br /> PROJECT ADD ESS <br /> �,,1 LL. H- c�l r� �c'sf� Tt ?D ^ 9 <br /> ow�er n�n naareea Gty su�sizro Pn� o I <br /> Tenant Mall Addreae ��b Sv�°Zp Ph°^° <br /> �.�,.���r ��Ec.z� �C P a � � �'4C� r�e�rr9�6�-533S-Z / <br /> ElecMcel Contractor Mall Address Clry State/Lp ��a <br /> �ASS�T 15'� ��l <br /> State Llcenae Number Contrect Price of Work <br /> RE'b 1 f��- <br /> Proposed Use of Buliding Contad Porson (Plan Review) <br /> Deacrlpqon of Work lo Be Done: ��QJ � « �` �� � � r�� <br /> PANEI.. , 1- �t�-N2€ �H^�s� �(t-� It� '�'J� <br /> 1�- �r= � ,—�2� c���� t-1��s� Sv c� � r� <br /> NOTE: WIRING IN NON-DWELLINOS IS REQUIRED TO �E <br /> BE IN RACEWAYS, N�C OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAl(CODE IS 3106 �`I' u f _ U�S <br /> I hereby cert!ly thaf I heve reed end exemined thls eppllceUon end know the seme fo be true end �� <br /> carecf. All provlslons o/laws end ordlnances povemin9 fhls type ol work wl11 be complefed <br /> whefher speclfled hereln or nof. The prenfing ol e permlt does nof presume to plve euthorlry fo <br /> vlolate or cance/the Frovlslons oleny ofher stafe or locel lew regWefing constNcflon w fhe <br /> peNormance ol construcNon. That 1 em authorized by fhe owner o/thls property to peAortn fhe <br /> work lor whlch pllcallon!s mede and 1 comply wlth fhe Sfate Confrac(ors Lew 18.27 RCW and <br /> 296.200 WA <br /> �_ � �� <br /> S pna ure ete <br />