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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 e AM TO�PM <br /> 2p�'�( �,�C fK/nI0 P� <br /> PROJELI'ADDRESS <br /> ovmer Meii naam.e cny si.�ernP Pno� <br /> ��,� g���P0�11?�a�6�Z� C'o�v c 3�S Ob�l�s„�a�32/� Pna� <br /> R����us ��� �Nr�6E � N ������ wR- `�g�Y� z5�Yii Yzz <br /> EledflCel ontraGtor MallAddrett Clty SI�Ie/Zlp Phone <br /> ��Ps �2af � _ �.��75� <br /> State Licenae Number Con recl Price Work <br /> Proposed Uee ot Building Conlecl Pereon (Plan Review) <br /> Description ot Work lo Be Done: ���� �.�'�Sn N���� 7���C0/� <br /> ��v� Pn� c-N�, .�vsr,�-rl �.v i4-e _�A�'�/�1- �/D 7 /�n/ctf <br /> ('�( l�-C v r l� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. I � ¢�` �7 S <br /> D � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7106 <br /> I hereby certily fhat 1 have read and examined fhis epplicafion end know fhe same to be true and I� 1'Zo 4 —C��q <br /> correcl All prowsiwrs ollews end ordinences Bovemmp Ihis fype al work will be cnmplefed C <br /> whamer specd�etl here�n or not The grentinp ol a permd does nolprasume ro gice authonry fo <br /> violale or cancel fhe prowsions o/any olher stefe a bcal law repulafinp consfrucfion or the <br /> pedomrance o/conslruction. Thaf I em authonred Dy fhe owrrer o/fhisWope rty fo pedorm fhe <br /> work lor which epplicafron is made en mply with fhe Stafe Conirec o! rs Law 78.27 RCW and <br /> ?96.200 WA . / / ` <br /> �i�_ `�� � / L�. <br /> Signetu�e ate <br />