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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �8�f-�,3�/ <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM t AM TO 4 PM -DEBR i CREDIT CARDS ARE NOT ACCEPTED <br /> -5��oq�+ <br /> � <br /> PROJECT DRE83 <br /> �gyJ��o �6c�x3�z l�tt�.�C� 9si�S�-��a7 �5-3��_-�2! <br /> Uwner �� Mall Addrcse Clty Stris/IJp �� <br /> Tenent Mall Addroaa City Sbte/TJP Phons <br /> ,�irea� �rna.��o �x� 71��c�r.� /�J,9 98a?5 �a5�6 a�7s� <br /> ElecVical Conttactor Mail Addreea Clty SlateZp %+� <br /> /���lF,c��/� 9 S?-�o Z _ /D, �OD <br /> State License Number Contract Price of Work . <br /> �i�//J'� Q1)� [:!!/lUl6(' !JCl�i�. <br /> Propoaed Ue Iding Conted Person (Plan Revlew) <br /> Descriptlon of Work to Be Done: � i��/7l ��� ��`/'t� <br /> !/ <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. ^�^ SD <br /> A� � � <br /> CITY OF EVERETT IOCAL SALES TAX�ODE IS J10S <br /> I hereby certily thef I have read and examined fhls appllaallon and know fhe same to be frue and <br /> correct. All provisions ollews and ordlnances goveming fhis rype o/work will be completed <br /> whether specified herein or not. The grenting ol a permrt does notpresume fo plve euthodty to <br /> violefe or cancel the provfslons ol any ofher state or local law repuletlnp conshuctlon or the <br /> peAormance of construction. Thaf 1 am aufhorized by the owner ol this property to peAorm the <br /> work lor which application is made end 1 comply wifh Me Sfete Contrac(ors Law 19.27 RCW end <br /> 296.200 WAC. <br /> �D� �:�����f� � `%o� <br /> S nat ra Dale <br /> ��sad�-ots <br />