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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 <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM �� _�� <br /> �►►o3_oiy <br /> �' V`� ;� 1` � �� �� . �J e-���� V'� R ��Z.G � <br /> PROJECT ADDRE83 <br /> ��t"�:.�p.� I \crve� 1� \�S �`F,�- I�LS� ��c�� �..J�� �Z�-Z°���1� <br /> Owner Mall Addrese Gty 8tale/LP Phone <br /> Tenant Mail Addreas Gty Stale/Lp Phone <br /> C� V -•r' <br /> Eled�ical ContrOcto� Mall Addroaa Clry Slate/Zlp Phone <br /> State License Number Contracl Pdce of Work <br /> � � .- \� �c%v.�� \�CS �Q—LC. <br /> Proposed Ua of Bulldinp Conled Pereon (Plan Revlew) <br /> Deacdpllon of Work lo Be Done: - r-- �t�<- �C V ^` �� r--e v rX�.-`\ , <br /> NOTE: 1NIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE I;� RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALE8 TAX CODE IS 3106 <br /> I hereby certlly fhaf I have read and examined fhls applfcetlon end know fhe same to be hue end <br /> correcf. All provlslons ollaws end ortlinances govemin�fhls type ol work wlll be complefed � I <br /> whether specl/!ed hereln or nof. The prentlnp ol e perm t does nof presume to plve eufhorlfy fo "V�� <br /> vlolafe or cancel fhe prov7slons ol any ofher sfafe�r locel law repu/eNng consfnicUon or the <br /> performance o/consfructlon. Thof 1 am eufho�lzed by the owner ol thls properfy fo peiform the <br /> work lor whlch appllcaflon!s made and 1 comply with the Sfafe Confrac(�rs Lew 18.27 RCW and <br /> 286.200 WAC. <br /> {�W( � 1�— Z O\ <br /> Slpnalure e e <br />