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r <br /> �� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � _ � s_ , � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everetlwa.org � � � � �� -C��7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 7���8 _ ��.-�c-�,c, <br /> PROJECT ADDRESS <br /> �— <br /> �r, )c ;���1^� � l��'��y /�����z-� �v�r�� <br /> � �Own r A1all Addr� � Clly Sta e21p Phone <br /> ��U�� f-, Cra<��'i� o ff�'- �v�i�=7f l�� , <br /> �l' �6��':72 �f ra:,,^i� />i�� /- � .� si.�.2�'/ <br /> Tenant Mall Addross City Stale/Zlp Phone <br /> EI� ' eclrical C�� M.II Address Cily Slate2lp Phone <br /> Stale Limnso Number Contract Prlco oi Work <br /> Proposed Use o(Bullding Conlacl Person (Plan Review) <br /> Doscription ol Work to�o Dono: <br /> �C�!�(G I'�f'�('� <br /> NOTL: WIRING IN NON-DW[LLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAF3LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> 1 h�icby ccrfily fhat I hnre read nnd exnmined fhis applicntion nnd know fhe semo to bo f�uo nnd �� � U� � � �� <br /> cormrt. All provis�ons o(laws m�Aortlinnnc�s goveming this type ol a�ork will be completed <br /> whnfher spnciGed hemin or noL Tho grunfinp o/e pentuf does nof vasume fo give aufhoiity to <br /> violnte ur cancel(ho Iuovisions ol any ofher stofo or locnl Imv regulnting wnsVucNon or fho <br /> performnnco ol construction. fhet 1 om nuflrorizeAby tho owner ol fhis property fo perfomi Iho <br /> woik!or �rhich applir,��ion is maido onAl cornpty�tiilh fho Stnfe Contrnctois Lnw /8.27 RCW end <br /> 296.200 WAC. <br /> �. > � <br /> �` , // � <br /> ���� �CJ�/�������In �� -�� <br /> Si�talur , Date � <br /> l �; <br />