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r-- <br /> ELECTRICAL PERMIT APPLICATIO(� <br /> CITY OF EVERETT PERMIT SERVIGES <br /> 3200 CEDAR STREET, EVERETf, WA 98207 <br /> 425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � , <br /> � , <br /> .� � � { � � �� � <br /> % <br /> PROJECT ADDRESS <br /> Owncr Mail Addross City State/Zip Phono <br /> Tenanl MailAddress Ciry Statu;Zip Phone <br /> _—_. _—____. _ ____ . .___—_—_—_.--_._—_.— <br /> Elocirical Coniractor 1.1:+n nddmss cny &m�erZip Phonc <br /> Stale Licenso Numbor Contract Prico ol Work <br /> Proposed Use ol Building Contad Pe�son �Plan Revir,w) <br /> � � <br /> J , <br /> Doscription o(Work lo �a D�no: �'� �� � ( ' -��.�l� L %��)l_�L�� [�LL�/1__C1� <br /> / <br /> � <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. „� � i' <br /> \��i = <br /> CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br /> I harehy cerlity(hnf I linve reaAend r,xernined(his application and know fhe snme fo be hu�enA <br /> r,orr�r,f. All procisions o!laws enA ordmances oovrrninq fhis typP ol n�cik �sill ba completed <br /> �rhefhm spxilieJ horein or noi. The yranhnc�ol fl p�mvl does nof(7/0511/71B(0(JIVP.All(IIOfIIy IO <br /> violafe or cnncel fhe!novisions ol any ofher stafe or lecal Inw�egu/nting conshuchon or the <br /> pe�forrnance ol conslrudion. Thaf I am nufhoiizeA by Ihe owner o!fhis proPerty fo peAonn fhe <br /> w�vk lor which npplicefion is mndo a�A 1 compty wifh fhe State Con6ncfois Low 1827 RCW anA <br /> 79G 2U0 WAC. <br /> / ,'� <br /> � i% <br /> �f��-��'���i>� , ,� _ J�t� �- /G=� 7 <br /> � - -- r oace <br /> s����,;�i��,< �, <br /> ,�� � � �,�; , , �>��- <br />