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p. l <br /> � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM -DEBR R CREDIT CARDS ARE NOT ACCEP7ED <br /> �` xS C0�,�3� �,U - <br /> PROJECTADDRESS � <br /> ��aa�,� r�iee.�.�w Iuzs co�ey �Ev��c�lkcT �u.k �1Q� �'�,� <br /> Owner <br /> Meii Address City . ShtdLD Phone <br /> ��y Stale2ip 1S <br /> Tenar�t MaA Atltlmsc tiI <br /> � ' <br /> €k�uv�. s x s s�o� ��r�NK� .�w , �v��w� 9�a. � t�, <br /> Electrlcal Contractor MallAddresa Gty ou�muN • •�-��- <br /> �c.} 41N.r,J/yZ L� Contrad Price oi WoAc <br /> State License Number <br /> p po��se of Building Contad Peraon (Plen Review) <br /> oescription o1 wonc w ee Done: N�`W S��-� f[�C ��Q7 /�M/� � <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. ��e� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cetiy that 1 have read end examined fhis appllcallon and knnw the same fo 6e We and <br /> correct. All provisions ollaws end ordinances goveming fhis type ol work will be compieted <br /> whether speci(ed herein or not. The grarrting ol a permd Aoes noi presums to g'rve autbority fo <br /> violatc or cance�Ihe provlsions o7any other sfate orfowl/ew repulatlnp constrriction or the <br /> perlormance o/conrtrucbon. mat I am authorized,by ihe owner ol thia pioperty to peAorm fhe <br /> �rork for which application is mede end 1 compry wdb the Sfefe Contrecfors Lew 18.27 RCW and <br /> 296.200 WAC. . <br /> �� �--� /� z <br /> Sigmr�ra te <br /> IR+ <br /> �('J �� ' 1 <br />