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ELECTRICAL PERMIT APPLICATION <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 PiJI <br /> 3/�O i3����y �,.�..-1./f �J` <br /> PROJECT ADDRESS � <br /> �� L- /������> P� l.� z'/Jd7 �� �.�- ��'izy �a v�.�-��,.� <br /> pw�1e�� MailAddress City State2ip Phone <br /> ,�//f��� 1'rr'/��G 3/zaA3,���,� E�r-�4-�- 9dnZ3 z�c jc3 yrs�/ <br /> Tenant � MailAddress � Ciy StatelZip Phone <br /> /../.(.,�a�5%rr ��Iv� .SQ�'l-�zz""�.iY��e�E. T�,ra�►=- '"�' 99�l�/! �tt .�3e-�>>� <br /> EleQrical Contrado Mail Address Clty State2'ry Phone <br /> l'U113E:s�94yMG4 e,r� �f� i/`�'"`� <br /> Stale License Number ' Contrad Price of Work <br /> ��w>�tu�.C/[XCSir•csi <br /> Proposed Use of Building Contad Person (Plan Review) <br /> Description ot Work to Be Done: T� /t�e�-� �/L S�� ,��* ��"'t � �� <br /> ,j'y�l�f �' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hemby certi/y thaf I have read and examined fhis applicafion and know Ibe same to be true and <br /> cortect. All provisions ollaws and ordinances govem�ng fhis fypo ol work will be completed <br /> �vhefher specilied herein ornoL The granting ol a pemut does not presume to give aufhonty fo <br /> violafe or cancel fhe provisions olany olher sfa�e or local law regula(ing consWction or(he <br /> perfom�ance o/consWction Thaf I am aufhonzed by Ihe owner ollhis property lo pedorm the <br /> work lor which application is made and 1 compty ivifh the State Confractors Law 7827 RCW and <br /> 296.200 WAC. <br /> � � / /6 c�£� <br /> Si ure Dat � <br /> ��ll- S <br />