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i - -- . . . � _. ---- _ _. _1 <br /> ` <br /> ELECTRICAL PERMIT APpLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I� -1�l--/L <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.or <br /> . 9 G ��� ��s <br /> APPLICATIONS ARE ACCEPTE�FROM 8 AM TO 4 PM <br /> ---------.-- <br /> 300� I ,��T c ���b � �{-O-�S @ G 5 , <br /> PROJECT ADDRESS <br /> —�Y�.�(NC.� �GO� l,U�:� C.��r�o � r�c.�'-T �f� <br /> Owner ldad Address <br /> City SIaINZip phone ' <br /> Ten�nl Mail Address <br /> City SUte21p Phono i <br /> �f i-fv��l.lE:._TCL R � irt'a7'�1 n ��,,, � � �,, <br /> Eleclrical ConUaclor ---r—� x.�� � � ���i'"""�,�-�t1'� �L'���,� '(j , <br /> Mail Addross Gfy Slale/Lp Phona <br /> Slate license Number ��� �6O . <br /> Contract Pnce of Work <br /> Proposed Usc o/Building Contact Person (Plan Roview) <br /> Doscnp�ion ol Work lo F3n bnno� �1JSTAL_L__��._������ �` <br /> --��� - -'� _ __ �----- <br /> - - -- -- , <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREU TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � zg��� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 -- — <br /> 1 hereby cerfity fhaf 1 havo road ond exnminod Ihis applicnfion und know fhe sarne fo bo fiuc and � I� ( ( �O(• <br /> eonect. All provisions ollaws and ordinances govemrng fhis fype ol work will be complofr.d � <br /> whethei speciBed he�eln or noC T e ronfing ol a pe�md Ooes rrof presume (o giva authanty fo � � � / <br /> I wo/afe or cuncel the piov ' o an er sfafe or locol lew rt�gulafing construcGon or(ha <br /> pedormnnce elconst ion T arn aufhonzed o ownero/th�s propeAy fo pedom�fhe <br /> work lor which appGca i ' �ede a y w � e Contracfors Lew 18.27 RCW end <br /> � 296.200 W . <br /> Signature Uate �� /� <br />