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� <br /> ELECTRICAL PERMIT APPLICATIO� <br /> CITY OF EVERETT PERMIT SERVICES . <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � �-� � ��7 A C���� �- <br /> PROJECT ADDRESS <br /> � <br /> A`:' � �C'�� � e. � � I`�O 1 f3 �'=.�ysr�Pr'��,�_(� �� `7�Z'� 1 �}2S-'�S2 �/� <br /> , <br /> wner Mail Address Cily State2ip Phone <br /> \ —���._ <br /> Tenant � Mail Address City Slate/Zip Phone <br /> ��s.5 �►� �� � �. ���. �y � ���-�r ���►�s 3�5z.3� <br /> Elecl�ic21 COnlraclo� Mail Address Ciry State2ip Phone <br /> K�AS��'c�Z � c2 �2 -J � 3�OC c�� <br /> State License Number Contracl Price of Work <br /> ��'1� €.--( N - � S`t�•1 '�-f��JT <br /> Proposed Use ol[3uildin9 Contacl Person (Plan Review) <br /> Description of Work lo Be Done: �1 ��—�j 1 NC� �.`��7� � � <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � �i'l � -� <br /> CITY OP EVERETT LOCAL SALES TAX CODE IS 3105 I <br /> I hereby certily that I have read and exarnined this applir.afion and kno�v Ihe same to be frue and <br /> conect. All provisions o/laws anA ordin�nces governina fhic type o/n�ork�vill be complefed <br /> whefher speci6ed herein or noL The grantin�oI a permit does nof presume fo give aulhonty to i'� <br /> violate or cancel lhe provisions o/any other stafe or local law regu/aling consfruction or the � �f � <br /> pedormance o!cons�rucfion. That 1 arn aulhorized by the owner o/this propeAy to perfomi the �' � . <br /> work(or which ap �cnfi n is made and 1 compty wilh the Sfafe ConVactors La�v 18.27 RCW and n <br /> 29fi.200 WAC...� I . <br /> i <br /> / �_�� ^' �`� � � <br /> SiryiaWrc Uatc <br />