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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.nrg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> Jl .� 13Ar� �=✓-�- C- �NG <br /> PROJECT ADDRESS <br /> �� <br /> � 1.r ,c. Q L�t1, l�! 7 � 3�5 � v. w� � q���� µ,.s_ sd, - re-�� <br /> Ownef Mail Addmss C�ty Slale/Zip Phone <br /> �fenant htail AdAress City Slule�Lp Phone <br /> Eleclrical ConUactor M11ad nddiess Clty State�Zip Phone <br /> Sl:do 1_icense Number Conlracl Price ol Work <br /> p � <br /> h � . ��— l(1�1i . .cKS—e <br /> Proposed Use of�uilding Contacl Person (Plan Reviow) <br /> Descriplion of Work to Bo Dane: 1 �-1�;� /n� <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 CUDE IS 3105 <br /> 1 hereby certdy fhaf I hav�r�nd anAnxanuned fhis applicahon and know Ihe same to bo tnie ond <br /> concr.t. All proasions o/laws and ord�nances�ovmninq this fype ol work wdl be complefed <br /> �vhefhe�specilied he>min nr nof The granfing o!a peinut does not presunie(o givo aufhority lo <br /> violafe o�cancel lhe iiowsions ol�iny other sfate or local l(11V IC(JIIIB(Ifli�COI75I�11CU0/1 01IIIB <br /> pmforrnance ol cons��ur.bon 71rif I arn�ndhont��d by fhe cwnei o!Ihis l�roperty to pe�lorm fho <br /> work lor whiNt npplicnfion�s made rvnd I r�vnply�adh fh�r Sfatc Conh�icfois Law 18 27 RCW and <br /> 296.200 WAC <br /> Signalme --- Uate -- — <br /> i� <br /> FuS� � � � <br />