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. � '. <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMII' SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTEO <br /> 300 3 U•►-es+ Ca �� nn �d . �,� yu �>v <br /> PROJECTAODRESS ( QC C1�f� <br /> z� OI��a-`f � SS <br /> O�M �O P,(1� 3 '1 G`1 rn G lo U-1� I(X r}IN1 1,�1 -- <br /> Owner IAaA Adtlress City Slale/Zip Phone <br /> �(,� uv�0 <br /> Tenant M11ai1 Adtlress Gry Slate/Zip Phane <br /> ���Z �n%3�F �SYV�.IIf}EY�i5� �Y1 • �`'�CL�-�Q IA� �Il��'� �G�� S�S� <br /> Elecintal Cnn�racior fdatl AOrtress �J Clly Slate/Zip Phona <br /> e.r�cc�s�.-��c�ti1C_ 3I� S 3�c'� . �.� <br /> State License Number � Conlra Price of Work <br /> Proposed Usr ol C�udding Contacl Person (Plan Reviewl <br /> Descnp�ion ai lNnik to Be Done {,� ���J ���«{-� � ���� l �/ — � � Y v ���._ <br /> C�,�.c�, �- 3 z - �j s - sc�� ,��, <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> �E IN RACEWAYS. MC OR AC CABLE. � � � <br /> J <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J106 <br /> I ne�eby rurhty m:�f i Irrive�u,id and caanunod thrs appl�cahon and know fhe same fn be frue and <br /> conecl All provisiorrs ol Ir�n�s nnd ordmances gavernrnq fbis fype of woM will be campleted <br /> �t�hethr,r sp�+ciLed horr.in or not (he gr:vnfnrg o/a pennR does nol�resume f0 giVe authonty fo <br /> v�olalo or r.;mr.ol Iho prowsrons ol any othoi slaro or locnl law regu ah�ig mnsfnicfion or fhe <br /> pminrrn;urce nl cnnsfrur,hon Thaf I arn nufhonzoA by fhc ownei o/tlris pioperty to pedorm fhe <br /> worh lor�sluch apphr,ahon is made and I conrpty wAh fhe Sfate Confmcfors Law iB.27 RCW and <br /> 296 200 WAC � <br /> �'�,,�, �v� ---, I.��-l� ,5 <br /> ��„ .�,., o�— , �8 <br /> � <br /> 72 _ c,� � - Sc� �(� �j rj�9e.t � � �j�j � <br />