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( _ <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ���.3��Z <br /> 425-257-8810 - FAX 425-257-8857—www.everetlwa.org <br /> �IZD'}.—�3�'> <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> (v �f.�0 C ��l� /l,� <br /> PROJECT ADDRESS <br /> /.7«�� uJ. f« SI �S�U L�.�(� � f�C....lY �/)- qY���� <br /> OWner Mall AdAress Clly State2ip Phona <br /> Tenant Mall Addresa City SWIe/Zlp Phone <br /> F.�� �(�tf.,� ..7��(� 7.1,.Sr5"C /:�<�e/P '�'�!- IJ'�� YLSJ�SJYI <br /> Eleclrical Contractor Mall Address Clty Slale2lp Phona <br /> nS J 2 L .t�c D,L.Z13 � ��'� <br /> Slale License Numbor Conlract Prlce o(Work <br /> �c S�-�--. �-C_ <br /> Proposod Uae of Building Contacl Person (Plan Revlew) <br /> Descdpllon of Work to Bo Dono: SC✓✓� � �- ��t=� <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � � Uv <br /> CITY OF EVERETT LOCAL SAIES TAX CODE IS 3105 <br /> 1 heroby certily thef 1 havo,-ead end exeminod fhls epplfcaflon end know fhe same fo be frue end � 12O� — I 33 <br /> correct. All provlslons ollews and ordlnances goveming fhls type ol work will be complefed <br /> whefher specfqed hereln or nof. The prenOnp ol e permd does nof presume to plve aufhorify fo <br /> vlolate or cencel fhe provlslons ol eny ofher sfefe or locel law ragulefing consfrucNon or Ihe <br /> perlormence o/construcNon. Thaf 1 em eufhorized by the owner o/fhls property fo peAorm fhe <br /> work lor whlch appllcaflon!s made and 1 comply wlfh fhe Sfafe Confracfors Lew 18.27 RCW and <br /> 296.200 WAC. <br /> � � -z3»�L <br /> LK �S � Z <br /> Sipna Date <br />