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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.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED�ROM 8 AM TO 4 PM <br /> � `�� /�C��/C���CU1� �'IVd , <br /> PROJECT ADDRESS <br /> 1M�U�. I���wa� �UZ4>> ��Z - Z� ��7 <br /> Owner hlall Addioss Clly Slate2ip Phone <br /> Tenanl hlail Address City SWIe/Zip Phono <br /> V��v��1 ,�-1 ��'1� "� ��y�_ �� � �_ '�_ ; � !-��c. . ��_I�h� ��i� � �-� �'>�'1 � <br /> Eleclrical Conlraclor hlail Address City State2lp Phone <br /> 1��� . , ?� � J <br /> V 11'_ .1 -1 '._ I� J F_ � � l : A _ <br /> State Ucanse Numbcr � Con�ract Prico ol Work <br /> Proposed Uso ol Building Conlacl Porson (Plan Review) <br /> Doscription ol Work!o Oo Dono: ��.`LJ��� ��� LJ�'��A��C��� ���V <br /> , W C 11/ti�1 �lN ��L� _ <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. r �=� <br /> � � � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I l�erehy reriily Umf 1 hnve rcad and exarninod fhis applicalion and know the same fo bo Vue and <br /> corn�cf. All provisions ol laws and o�dinancos goveming fhls type of work will be complefed <br /> Hh�ther speci6oAhorcin or noL Tho g�anfing oln pennd does nof presumo fo glve authonty fo <br /> violofe u�cancel fhe provisions ol any afher stofo or locul law regulafing construcfion or fhe • <br /> poAormance o/consfrucfion. That I am authonzed by fhe owner o/fhis property fo perfomi fhe <br /> woik Por which npplicnfion is modo and I wrnply with fho Sfafe Confrecfors Law iH.27 RCW end <br /> 29G.200 WAC. /�,� <br /> 1 ` <br /> ��.rs.� i �� I �,_ � _( I ' � <br /> � � , � <br /> T�ignaWr� `� Oa�e I I <br />