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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.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> [�- � ���� L�) . � +'� �,i ",� ���. �y A,I�.1 ��� CA�E� ��i �V� �0 '-�7 <br /> PROJECTADDRESS <br /> Own0/ MaA Addrrss Ciry S;ate2ip Fhone <br /> i�JC �" �iL.��11.7"2�� i�+ �✓1� F <br /> Tenent Mad Address City State2ip P�one <br /> :<�, l-'74 J� <br /> L.11�r /4�iPl Y- .r_�ri[ � ~� < < _ ,rr %J✓��(• <br /> Electncal Contractor Mail Address CMy 5tate2ip Phone <br /> U-I�'� � <br /> � . <br /> / ,�� c-� �r, �/y;r.z � <br /> tate License Number Co frad rice of Work <br /> • „ A L � <br /> Proposed Use ol Building Conlact Penon (Plan Rehev.� <br /> Descnplion al Work Io Be Done ��J � � - f ' <br /> � � ��.t <br /> NOTE. WIRING IN NON-DWFLLINGS IS RE�UIRED TO FEE <br /> BE IN RACE WAYS, MC OR AC CABLE . <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /� � _ ,, <br /> I heraby certily tbaf I heve read arrd examined fhrs applrcafion and know fha sama to be tnie and I C�l.' <br /> correct All provrsions o!lews and ordmancas govemmg thrs fype uf worM will be aimpleted � <br /> whether spacdied herein oi not Tlre granhng ol a permrt does notpa sume fo give autbonty fo <br /> wolate or cancel the provrsrons ol eny other state or locel law regulafmg consfrudron or fhe <br /> peAormance ot construdion Tbat I em authonzed by tha owner ol thrs poperty fo padorm fhe ��, <br /> work!or wlrrclr apphcat�on�s nrada and 1 comply wdh tlre Sfefe ContraCors Lew 1927 RCW and � � <br /> 296.200 WAC � � I � � <br /> . � / I . <br /> �� � .� i, <br /> L� � � /i <br /> _ � / y( � � <br /> ature! ate <br />