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{� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 91a��„ <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org �, ��pq��� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> "<= �'0 / 7 C� ED/�R ST <br /> PROJECT ADDRESS <br /> du2 �r��' ��' r'ERP�IuRL /ttLl� z� iq CEOAI't, Tj ,�vwk 49zo/ <br /> OVmer Mall Addrese City Slata/Lp Phone <br /> y �5 3yQ _ � �� y <br /> Tenenl Mall Addrese Cily Slale2lp Phone <br /> /K�L7/h�iV GL�C �R/C, CO /NL <br /> Electrlcal Contracto Mall Addresa Clty Stala/Lp Phone <br /> Mc. v�N� Coo3'�v � <br /> Slate Ucense Number Conlrect Price o(Work <br /> Proposed Use of Bullding Conlect Peraon (Plan Review) <br /> Descriptlon o(Work to 9 Done: I - Z O 0 /�I�.�/� c�v,ER H�'� T�M l� <br /> S �Qvi(, ,�. i=oR .SRusR� /�gsT. <br /> NOTE: WIRING IN NON-DWELLINGS IS REl]UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cerii/y that 1 have reed ond examined thls eppllcelion end know fhe seme fo be frue end <br /> correct. All provlslons ollews end ordinences goveminq thls type ol work wl11 be complefed <br /> whefher specified hereln or not. The grenfing o/e permif does nof presume fo glve euthorlty fo <br /> vlolafe or cancel fhe provlslons ol eny ofher stafe or local lew regulafing consfrucflon or fhe <br /> performance o/construcNon. Thef 1 em aufhorized by fhe owner ol fhls property fo peAortn fhe <br /> work/or whlr,h eppNcaflon Is mede end I comply with fhe Sfafe Confrac(ors Lxw 18.27 RCW end <br /> 296.200 WAC. <br /> ��a � - ,J <br /> �'�.�� ' ,� 9 - z l� - �/ <br /> � Slgnetu ate <br />