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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER.ETT, WA 98207 � <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 22�i ;� c�c,�ho �a <br /> PROJECTADDRESS <br /> Owner Mal Addmss Gty SlatelLp Phona <br /> �—�la�7�—urn Enr,�7a{—,��1] 1 A,�`" 5�. Su1 S���e 2so Euue.�,e�A g92o3 <br /> Tenanl y Mail AtlEwss Ciry Slata.2i—�— Pnona <br /> �+L e� heh� 60o sw 3u�" ��. S�;�e �- Qer�-�o� � qAosS <br /> EleclncalContractor Ma�lAdO�ess Cny Slate2ip }O4Z�3.�it <br /> 3G'C�Lz oo�.L 1_ �' -'�l- � U � i8, o0 0 <br /> State License Number Contract Pnce ol Work <br /> �rhme,rc.�u,� �sur Qx.,�r�r�'S <br /> Proposed Use of Bmlding Contad Person (Plan Revlew) <br /> Descnplion ol Work to Be Done �o`� ��[�Q <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J706 <br /> 1 heroby rnrLly thaf I Iravo read nnd o�ennned fhrs nppAcafrorr an0 know fhe same fo bA Irue and <br /> corrocf All prowsons ol laws nrrAordmances governnrg fhis type ol work wrll be completed <br /> whother spocrhod horern or nof Tlro g�anfmg o!a pomuf Aoas not presume lo give authonty to <br /> violafo or canrol fhe provimons ol eny olhoi stefa or local law�eg�e�afmg consfnicfron or the <br /> poAarmance ol construc6on Tlret I t�nr eufhonzod by tho ownor o!flus property fo perlorm fhe <br /> work lor whrch app6cafron is maAe and I romply wifh(No St�le Conhaclors Law 18 27 RCW and <br /> 296 200 WAC. <br /> i <br /> S natwe �•� �a' O �oI� 0�,� <br />