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ELECTRICAL PERMI� APPLICATION <br /> CITY OF EVERETT PL=RMIT SERVICES <br /> 3200 CEDAR S'TREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8A57—vs�^.•:.;;.��,;,;aa.org <br /> APPLIGATIONS ARE ACCEPTED FROM 8 AM TO 4 Plv, <br /> S.�! /,� �/Y�'a,Al ,�.•o./ <br /> PF,OJECT ADDRESS <br /> j}�� — �_ ����I � <br /> � �',;,� ` ��''�X.�C;J4 -�3�C�4� �'�z3i'i <br /> Owner Mail Addross Cily SUte21p Phone <br /> Tenant Mall Address Cily Slate2ip Phone <br /> �I.�' <br /> l <br /> Eleclrical COntractor 61ai1 Address Cily Slate/Zip Phone <br /> Slate Lic�nse Number Cunirac;Prico oi Work <br /> Proposed Use o1 Building Contacl Person (Plan Review) <br /> Description o(Work lo Oo Done: �%iJ`{��C�'� r /� ��-i`,'T7�G <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�lUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABI.E. <br /> CITY OF EVERETT LOCAL SALES TAX CODE,S 3105 I <br /> I hereby certily that I have read and examined this application end kno�v the same fo be frue and <br /> correcf. All provisions o//a�vs and ordinances governing fhis fype ol wnrk will 6e completed <br /> whether specilied herein or nct. The granfing of a pennR does not prosume to gire authonry to <br /> violafeorcancelthe provisionsolanyofhersfateorlocallawregu/etin,qconstructionorfhe �' <br /> performance o/construction. Thaf 1 am aufhonzed by fhe o�vner o/flus prope�ty to peAemi fhe ��'' ,- � <br /> wwk lor wlrich applicafion(s made and I comply wi(h Oie State Contraclas La�v 1&.27 RCW and - � <br /> 29G.20QWAC. i <br /> ��' � <br /> , <br /> , <br /> . � � �, , c� ., _�,, :,;� �/;/�/, -7 <br /> sr�nalure � oa�e ' <br /> � C� ICy- c;� � <br />