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—� <br /> ELECTRICAL PERIVIIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 3J���Z <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> C J�3..i SR <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> '� (_,� � p�F� <br /> PROJECT ADDRESS <br /> �Enn� fe �_ ��1 ,J�C,- I1�'1��k�el ���c�f�, WA• `��'�DI �a5��,?-`l� a-- <br /> OWnef Mall Address City Stale/Zip Phune <br /> Tenant Mal�Address Clly State/Zip Phone <br /> �����1��x 9��A��, �4�QT3��� <br /> E eclrlcal Conlrac�or Mall Address City State/Zip Phone <br /> �R�S.SEG � ` � P CT I� <br /> Slale Uconse Number Contracl?rice ef Work <br /> �es�c�e�,� _ --- <br /> Proposod Use ol Building Cantacl Psrson (Plan Reviow) <br /> DescriptionolWorklo�oDonn: ,�`j�cfr, � Dl� �t� GC�`P(- lA(�'f� 'tl7 a�" �""�"r <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 CODE IS 3105 ��a v 3 _ / ..r'"J Q <br /> l heroby cerlily thet 1 havo rend mid exnrnined Ihis applicotion urrd pnow tlio sarno fo be frue enA � <br /> corrocf. All provlslons ol laws and ordinances govomaig fhfs typa ol work wiN bo completerl <br /> whether spoc�fied herein or noL Tho granfing of o pornuf does nof presume fo gh�o outhonty to <br /> viola(e or cancel tho provisions oI any otl�er sfafo or local law regulnfing consfruction or fho <br /> perlormance o�construcfion. Thaf I am euthonzed by Iho owner o/fhis property fo perfonn fhe <br /> work lor which applicofion is mnd�and � compty wifh tho Stafe Contracfors Law 18.27 RCW end <br /> 296.200 WAC. <br /> �.�,� 3 z� <br /> Signature Date'� <br />