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f <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREiT, WA 98201 � .� a-�"�� <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org � O�O�`�bU <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> / 2.=��_ ��% t !- -i r.lU� �� I <br /> PROJECT ADDRESS <br /> �� ��� i-1 )� ��lll - �c� �'�, iJ �b; R�� ��� 11.0 �/�•� 87u 71Y � <br /> Owner Mail Address Gly State/Zip Phono <br /> Tonanl Mail Address Cily S�ate2ip Phono <br /> ,t.c�n_i�y /=c.1-C, ��'i C �G �f �C <br /> ElectriCal Con�faClor Mail Address City Slate2ip Phone <br /> �-�� �,u r-_ c �a � N,�� <br /> Slato L:conso Number Conlract Price ol Work <br /> P-)c- <br /> Proposed Uso ol Duildin� Conlacl Person (Plan Review) ' <br /> Doscription ol Work lo Be Done: /v�--iU �5 �-� �00 ��ti�� <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> OU <br /> :�:� — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cr.rbly Ihaf 1 have read and exornined Ihis�pplicafion und know Ihe same to be(rue and <br /> conecf All provisions o/�aws and orAinances govemmg this fype ol work will be complefed <br /> whefher specilied herein or noL The�rnn6ng ol a pemut does nof p�asumo fo give aufhonty fo <br /> violafe or cancel Ihe �rovisions o/any other stafo or locnl law mgu/eting consfruc6on or fhe <br /> pedonnance ol cuns�ruction. 7"hnf 1 om aidhorizeA by fhe owno�ol fhis property fo peAorm fhe <br /> woik lor which applicalion is maAe ond 1 comply wifb fho Stefe Conhecto�s Law 18.27 RCW and <br /> 296.200 WAC. <br /> � � �� ��/ / .�-� 7 - z7- v � <br /> -'�`�gnaure .� Uate <br /> _ � <br /> � � � � � <br /> C <br />