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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVlGES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 '� „�,7 ,.D7 <br /> 425-257-a810 - FAX 425-257-8657—www.evereltwa.org <br /> APPi.ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ED��� l�� <br /> � � . <br /> PROJECT ADDRESS <br /> OWner MailAddress City Stato2ip PFwno <br /> � w D�� �l�P��f 1� °���Z� <br /> TenaN ( ailAddmss City State/Zip � Mj.� ��� J�h�ryyo <br /> �r�� y ,d <br /> ��Q ��'� oa <br /> ,L� �Yl� /'//�/�`�l Z/3/z�J�Ir b� � S� 100 �'dtic�G/. <br /> EledricalContracbr MailAtldress City Stale2p/lyY� /�/, ne� <br /> �'//i v/�(�i <br /> �I�JN,��lS/�/8� ����. <br /> ate License Number Contract Price ot Work <br /> L(lVtl l�0/���' �'G��"/�!� .��� I��6.e.,� <br /> Proposed U e of Building Co act Person (Plan Review) <br /> Descnplion nf Work lo Be Done: _L��✓/���'�f/���/ � <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FE��Q 0� <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily fha(1 have read and examined fhis application and know fhe same fo be Irue snd <br /> , correct. All provisions o/laws and ordinances govenung Ihis type o(u•ork will be completed <br /> whether speci6ed herein or not The granting o/a pemut does not presume to give aufhonry to <br /> violafeorcancelthe provisionsolanyothersfatoorlocal/awregulatingconsWctionorfhe <br /> peAormance o/conslrucfion. Thaf 1 am authonzed by the owner o/fhis propeRy fo pedorm the I <br /> work for which applicafion ' made and ompty i iki the Sfafe Contractors Law 78.27 RCW and <br /> 296.200 WAC. <br /> � �� ��� �� <br /> � a� � Date <br /> �v7 << -i �13 <br />