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I <br /> � I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �3��z <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �=�Zp Z—pZ(� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> S �'�`.�l \�roac�v�a.� t '������ <br /> PROJECT ADDRESS <br /> � q :} �. � � ('�,� <br /> � <br /> Owne� Mail Address Gly Slate2(p Phone <br /> � <br /> � <br /> �� , H �� F� , , a� _ <br /> Tenant MatlAddress City State2lp Phone <br /> �, �� l. CI,.-I. <br /> Eleclrical C nUaclor Mail Address City Slaterzip Phone <br /> � i 2-��°� <br /> Slate License Number Contract Price of Work <br /> Proposed Use of Buildfng Conlact Person (Plan Review) <br /> Doscription of Work to Bo Done: ��1���e � <��u n° �'^-0N������ � V"�=tir � �'"'�`^�� <br />, NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. I ����y � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceiiify ihaf 1 havo readt{nd examined this applicafion and know the samo to be fruo end � I ZV Z'��J <br /> correcL All provislons o//aws aAd ordinances goveming this type o(work will bo completed <br /> u�hefher speci6ed herein or no1J The granting o/a pemut does not presume to give authonty to <br /> violate or cancel fha pro4isionso(any other stafo or local!aw regulating consfruction or tho <br /> performance o(consirucfion. Thaf 1 am authonzed 6y fho owner o/fhis property to perlomi Ihe <br /> �vork lor�vhic icalio i is rdade and 1 comply with tho Sfate Confrectors Lew 18.27 RCW and <br /> 29G.200 WAC. <br /> �', ! � <br /> � � � v� "3 '� <br /> S`gna�re � ate <br /> / <br />