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- --i <br /> ELEC�'RICAL PERMIT /�PPLICATION <br /> CITY OF EVERETT PERMI�' SERVICES <br /> 3200 CEDAR STREET, EVEREIT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857— www.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> ����j �t > �"l � As��,� , �baD � ���tT� 1.��>>l� `�L�L-G���� <br /> PROJECTADDRESS ���� ��� yU_ �� <br /> ��t.i��(� <br /> Owner Mail Address City .`.tate2ip Phone <br /> Tenant Mail Addrass City Statc,Zip Phone <br /> C�t2.�) <br /> ' <br /> � C�� c'�a ��r � � l�¢.e.tu � R=eF"-�- Pn0-w.�kt �L�.i�3.R �"�t�`I4.7��� �f�l ��--�2 . <br /> Electricai Contractor Nail Addmss Gty Slate� Phone <br /> i � '41f \i1lK � — <br /> ile License Numher Contract Price of Work <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Description of 4Vork to Be Done: � e � �i < <� r e ' i t c ` �c LI R� L `=� ' < <u-�Y �'`�SZ�'�`"� <br /> , � •li. " c'" L'P` <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> ��; ;!��� •C-�. <br /> CITY OF EVERETT LOCAI.SALES TAX CODE IS 3105 <br /> I here6y cert�ly fhat I have read and examined this application and know the same to be frue and <br /> correcf. All p!owsions ollaws and ordinances goveming fhis type o/work will6e completed <br /> whether spec�fed hemin or not The granhng ol e perm�t does not presume to give authonty to <br /> violate or cancel fhe provisions olany other state or locallaw regu/atiny consWcfron or the <br /> peAormance o/construcfion. That I am authonzed by the owner o/this property to peAorm fhe <br /> work lor which applicahon�5 made and 1 cornpty with fhe Slafe Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> fr � � <br /> . I � ,� <br /> . �.,� i �— � - te <br /> Sig--�—�, <br /> � <br /> � (��D L^ ' � 5 <br />