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� <br /> 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 PM ��007.�� <br /> � �y,�� �. �ni\��Y+�� <br /> PR•DJECT ADDRESS � <br /> S�c����� l' � ��,e,� �,� t`, ,�1\l ��'t�Y��3\\Ex , ��i.zi�\ ��,`A �'Cx�01 <br /> Owner Mail Address City Stale/Zip Phone <br /> SLo ��:�-z�15� <br /> \ .�!-��p Cn f�l���5511�i��r nr �h,�, x-vaxt:�-�- u�t� � G5 <br /> Tenanl Mail Address C y StatnlZip Phone <br /> ��5-5�1 3'�j> <br /> '��.�� �..,���v . �'�� � �-�1tln�a?.1a4-�� ns��i ��� m,�.�,���s wt� ��a�� <br /> Eledrical ConfraC�ot Mail Address Cily Slale/Zip Phone <br /> �\ 0�4..,Z� q1 � ►�R ' <br /> State License Number Contract Price of Work I <br /> � t '�Lf, �cn �'14 A\c�v� v:n�.�tt�0.k� <br /> Proposed Use oi Building Contact Person (Plan Review) <br /> Description of Work to Ba Done: �.\i�� �p��cl9 , v:�x ��A -tU`( �.�'U.(�u�R y <br /> NOTE: WIRING IN NON-DWELLINGS IS R[�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br /> 1 hereby certi/y that I have read and examined fhis apP�ication and know fhe same to be lruo and <br /> correct. !!II provisions ollaws and ordinances governing Ihis t}�p�ol wo�k will bo compleled <br /> whether specilied Irerein or noL The granfing ol a permrl does nof resume to give authority fo � <br /> violafe or cancel fhe provisions ol any other state or local law reguPfiny consfrut'fion or fhe I,,�1 <br /> peAormance o/construcfion. TI I ar�authorized 6y the owner ol fhis properTy fo oeAorm(he � . <br /> work lor wl7�'r.h�plicaljon is m de:�an/1 r.omply wifh the Slafe Confractois Law 18.27 RCW and � <br /> 296.200 WA � � � <br /> , � � �7 � <br /> n re Dale <br />