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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3�J0 CEDAR S1�REET, EVERETT, WA 98201 s `���� <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org �-j�j g—�3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> `�L,U3 �.J C,��S�r�lr� �� �'o -�';=�3,5, �C-� � aS <br /> PROJECT ADDRESS <br /> � � <br /> �`�>I= I N� �;t'�'� �-J �'£E�1��l���n ��k��(1 ll� <br /> (�wnor MallAddmss City State/Zip Phove <br /> Tanan� Mail Address Cily Slato2ip Phono <br /> ��� �y„��.,�s��-�� ? x� �,:��-�c�s;;��.�c� ��� �n�€ wa �n� ��-�� q <br /> Eleclrical Contractor Atail Address --� Cil� Stale/Zip Phone�U'� l <br /> -�-C�Y ir" -� I�c�t c� � ��; 000� .,�;r.; <br /> Slate Llconse Number Cont a�ico of Work <br /> Proposod Use o�OuilAing Conlact Person (Plan Review) <br /> Descrip�ion of Wotk�o �o Uono: �G'�T�(.XJ,I� �.,.{_S <br /> NOT[=: WIRING IN NON-DWELLINGS IS REOUIR[D TO FEE <br /> BE IN RACEWAYS, MC OR AC CADLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 `/ n 2 <br /> 1lmroby certily fhaf I hn��e read nnd exernined this npplicnfion and hno�r the same to be frue nnd � L�'] vJ v <br /> r,onecl. All p!or�s�ons olla�vs t+nd or'dinances povenun,q fhis fype o/u�ork�vill be cornplefed <br /> whether speulicd hcroin or nol. The�Jranfing o/a perntd does nof presumo(o gi��o authority fo <br /> violafe ur cancel fho Ivovisions o!any ofher sfafo or locrl l��v re�ula(ing consfruchon a Um <br /> geil,mndnce o/constructi . That 1 nm aufhorized by th�owrar o/fh�s�roperty fo peifenn fho <br /> taork (or�sfrich applir ' n is mado and 1 comply tvifh tho S(�fo ConGt�ctors Lo�v 18,27 RCIN and <br /> 29Fi Z;0 4Vf1 C. 1� <br /> -- /T � __ � _ `�� � (7 <br /> / - �------- o��o <br /> s�y��,vuro <br />