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� . <br /> —� <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—wwHr.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> � � <br /> .� r� �- � , , <br /> ,-�j�.�v�s�- <br /> PROJECT ADDRESS <br /> L� �.� �,���.ws � � ���� � �.;,���,�� � wr✓ <br /> Owner MailAddreee Ciry State2ip ' Phone <br /> Tenant Mall AEdresa <br /> K�_ � Clry Stata/ZJP Phane <br /> � <br /> ElecVicalConUattor MailAAdreae <br /> City Slatel7Jp Phans <br /> State Ucense Number <br /> ConVact Price of Work <br /> Proposed Use of Buildfng <br /> Contact Person (Plan Review) <br /> ! �J <br /> Descdption of Work to Be Done: ��f�, �f'f1 vZ / Q ��/Zc� ��� v��T <br /> ., .O�l/✓ /C -t� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br /> BE IN RACEWAYS, MC OR AC CABLE. �E <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi/y that I have read and exemined fhis epplicatlon end know the same fo be frue end <br /> corract. All provisions ol/aws and ordinences govem�ng fhis fype o/work will be completed <br /> whether speci(ed herein or nof. The grenting ol a permd does nofp resume to give euthonty fo <br /> violale or cencel the provisions o/any ofher sfate or local lew repulating consfrucflon or fhe <br /> wor�lr�or wh/ch appl/cetlLonos.made and l comply wth fhe Slate Confr�e�ctosPLew 18 27 RCW end <br /> 296.200 WAC. <br /> � I/ <br /> �!''`"'` (,2-�`�` .�'��� -G S <br /> Sipnatura ate <br /> �c�5���� <br />