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i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE�T, EVERETT, WA 98201 <br /> 425•257-8810 - FAX 425-257-d857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> ��',�l J . ). �.�5/No �J�. t��.D�. Y, Suii� Ntb <br /> PROJECT ADDRESS <br /> r�uc j��0 �s,a�is �%�..�/ �4�5 �� c,as�a� � :� �'vukrr �.��¢ rScoy <br /> OWnef Maill.ddrass City Sixlo/7ip Phone <br /> .�uN� LOI.OF— L�a� �. � �5,��� �� , ��ti�, �� ���r �ov��s� . �;� <br /> Tennnt MailAddross Cily Stalo2ip Phono <br /> .�oN'IU3aW ft� .�rr�;�� �.#,� ��t�i� N�- r��� Jr, wr��w�.�q „�a y�>>y y�.s-���-8«v <br /> Electrical Contractor Mail Atldross ciry S�ata�Zip Phono <br /> �C'IiN' f ! � '-<< � � In. '" <br /> Slate Liconse Number Conlract Prica ol Work <br /> L' 11qlt�l'/r �ii{� <br /> Proposed Use ol Building Contacl Person (Plan Review) <br /> Descriplion of Work ro Be Done: il��i��('� (�-,l ��T• ��'����� �'��i� <br /> � �� F���rsr �aN <br /> � � � � ic,�ri ;�,,, �,..,� f.+4�rr�hoo�u . <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> 1 he/ehy cortAy fh�f I have read nr.d exnminoA fhis epplicafion and know fhe same to be frue end <br /> correcf. All provisions ollaws nnAordinanc�rs goveminy fhis typo ol work will be complefad <br /> whefher spec�fied heroin or not The gran6ng ol e,�ormd does nof prasuma fo giva nutbority fo <br /> violafe or r.ancel fho!vovisions ol eny ofhor slale or local law repulafing constmclion or fhe <br /> pnAunnance o!constn�cfiort Thaf 1 nm eufhonzed by fho owner o/fhis property fo pedorm the <br /> worh Ior which ep�4calion is maAe enA I comply wifh fhe..fafe Contracfors Law f 8.27 RCW end <br /> 29G.200 WAC. <br /> . . � � ll%J`J <br /> s��an,wre o0�— <br /> � �:�L��Q - j �� <br />