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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERElI', WA 9820? <br /> 425-257-8810 - FAX 425-257-8857—www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> .���� /� �� �=�� <br /> PROJECT ADDRESS 3�(; SC l -�; B C� Z <br /> ���'u �P�ox <br /> , �. � � v��'�v � �. � Z �._.�J �-t-� � ; �� �� <br /> Ownor . i Mall Addrose Clly Slale2fp Phone <br /> Tonanl Mail Addmss Cily SlalelZlp Phono <br /> �1 w ��--z� <br /> Eleetfical Conlracbr htail 4dd�eas Clty Slalo/Zip Phono <br /> Slat�Liconso Number Contrad Price ol Work <br /> Proposed Use ul Buildinp Conlacl Pcrson (Plan Reviow� <br /> �oscriplion nl Work lo Do Dono� _�1_� � ✓V' �""� L�.,. _ <br /> ��-- <br /> NOTE WIRING IN NON-DWELLINGS IS RE�UIRED TO fEE � <br /> [iE IN RACEWAYS, MC OR AC CABLE. <br /> �CITY OF EVERETT LOCAL SALES T/U(CODE IS 3105 <br /> — —' <br /> 1 he�o6y certity(haf I have read end exnmined tl�is npvlicnfion and know fbe seme to be fruo and <br /> i conecf fl/l provisions ollaws and ortlinancos govommg fhis fype ol n�ork will be conrplefed <br /> ivhether specilieA herein or nof. The granting o!n pomut does nof rosumo fo give authonty fo <br /> violafc or cuncc/(ho rovisions of any ofher sfafo or local Imr reguPting construchon or the <br /> porformanrr,o/consPucfion. Thaf 1 arn authoiized G}�thn rnvner cl fhis preperty to pe�ionn fhe <br /> woih lor which applicofion is mndc�and 1 compty wifh fho Sfote Cunfrnctors Law f 8.27 RC W end — C 7�� <br /> :'9&200 N�AC. _-- . <br /> � • ,'�G�J <br /> � �. � <br /> � C� �� �, _ ( � _ U � ���,�� 3 <br /> , r <br /> Slpnal r0 0 � Date � <br />