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/ t <br /> l <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S1 REET, EVERETT, WA 98201 ��/ZZ/j�j <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> [-�piz -lyD <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1 Zu � •, L„ ��-.� ff � R81c�3 <br /> PROJFCT ADDRESS <br /> �.�,,r�� ' , �I���,,:., <br /> Owner Mall Addross Clty Slale/Zlp Phone <br /> Tenan� Mail Address City Slate/Zip Phoi�e <br /> �I�l��-� <br /> Eleclrical Contractor M:.il Address Clty Stale2ip Phc�e <br /> �✓ <br /> Slate Liconso Numbcr Contracl Price o(Work <br /> ProposedlU o ol Buildin9 Conlacl Porson (Plan Review) <br /> Descriplion ol Work lo Oc Dnnc: r�%���� <br /> NOTE: WIRING IN NON-�WELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TN(CODE IS �105 <br /> I heioby certily that 1 havo rend and examined fhis npplicofion and know Ihe serne fo Ge frue end r � �� � � - � �� <br /> correcf. All provislons o/laws end ordinances governng this type o/work will be complefed <br /> whefher spoaGed herein or noL The granfing o!a pemut does nof presume to g7ve authonty fo <br /> violafe o�cencol fhe provisions o/any ofher stefe or local lew regulating construction or fhe <br /> pedom�ance o/construchon lhaf 1 arn aufhonzed by fhe owner o/th�s property to peAorm fhe <br /> work lor which dpplicnfion is mede and 1 comply with fhe Stafe Contrac(ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ,�IzZI � <br /> ��-,��,�,�� o e <br />