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i <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 /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� � � t.��s.D�.�2('i /��OC� � �(�,,�P ,U <br /> P OT JEC ADDRESS <br /> L��� /-�/ � _ <br /> Ownc� Mail Address City SlatelZip Phone <br /> ��� «', n ti��1 f I�� � "� 1 1 ���� �, ', � �j 1��P� �, ��.. - <br /> Tenanl Idail Address City Slale2ip Phone <br /> �id5- �31-a3F'y� <br /> �3�r�.,n FI��� r�� U, . � 74'a�l4� n�c�n ��� ���i��l-I��mi�11• �,.;����f',)q��- <br /> Eleclrical ConVacbr 1dai1 Address City Slate/Zip Phone <br /> �li--�' .� <br /> Stalc Lic[!nse Numbcr CoNract Pr�ce of Work <br /> « �,.� �„t� �a�,z.-=� <br /> Propused U �nl[3uddmi� Contacl P��rson (�'lan Reviow) <br /> Descriplinn of Work to l3c Uono�. L/1 � ,��. l � C�i'� �C f. ��I���'4�� ��t��'� � (,�/�a� L�K / � <br /> �7 <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 3'OS <br /> 1 h��rrby crrtrly fl�nf I have�e�d�nA rxarnin�A fhis applicetion nnd know the same fo be f�ue arrd <br /> cnnocf. All prov�sions ollaws and oWinances governm�this type ol work will be cornpleted <br /> whrfhm specilied herein or nol. The pran6ng of n permd does nof presume fo give nuthority fo <br /> violnfe o�cancel fhe provisions ol nny ofhei sfate or locfll lnw regulafing consfruchon or fhe <br /> pe�lorrnance ol ccnsfruclion. That 1 arn authorized by fhe owner o/fhis property fo peAorm fhe <br /> wcrk(or �chich epp6cehan is mnAe nnd 1 cornply wilh fhe Sfafe Conhaclors Law 18.27 RCW and <br /> 291i 200 V�'/1C. <br /> �- �.�nr��P,���;�.;���•'� `�� /3 0 �'� <br /> � SiQnatwe � Uate i 7— / /-� <br /> �,b a l0�/ <br />