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.- <br /> ELECTRICAL PERMIT APPL6CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org �(� � O —OJ"� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C— O S�I �I�( <br /> /� /� r3�oG��vU � <br /> PROJECT ADQRESS <br /> � ' � �C< s �f'l //�i>7�, <br /> O�tner Mall Address Ctly Slatc'Zip Phone <br /> 'fenanl Mail Pddress Ciry Slale/Zip Phone <br /> G� 1-u vk's Cl�� , 7�I as-o �! �v r,.� . s�N� �/� �z <br /> Eleclrical Contraclor Mail Address City Slate2ip,}�p��9.��Phone <br /> �� <br /> �1�tY� �(�-3 I � � l�� � � <br /> Slate Liccnsr.Number Conlract Price of Work <br /> �' � Ct 4 I <br /> Proposed Use of Building Conlacl Persen (Plan Rcview) <br /> /�yy/� �' SC'V'V i GL ��YA� ,� L` �+ i( <br /> Descriplion of Work lo Be Done: �""� �� i �`�" � <br /> NOT[: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hercby certiry that I have read and examined this application and know ihe same to 6e frue�nd <br /> correct All pra��isions ol laws mid ordinances gnveming flirs type ol work will be complr.ted <br /> whefher ied herein ornot The granting o/a permd does not resimie to give authunty to <br /> violafe r canc 1�lie provisions o!any ofher sfate orlocallaw r.guPting construction ur tbe <br /> perfc�iance o construclion. That 1 am aufhonzed by the owner ollhis property to peAcnn the <br /> worhI�lor which pplication is made ar 1 comply with fhe Stafe Contractors Law 18.27 RC W and <br /> 296.1700 WAC. � _ <br /> 1�`/c��/�" �� //—�3C> �DD 5 <br /> Signature Date <br /> j � - lU � <br />