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� <br /> C., - �� _o� <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 —vrww.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �3i/- � � y � � �.��� . <br /> PROJECT ADDRESS <br /> �/�.ls�. � �/.D (4�'�>� I —�' ��+� <br /> ���L ��< <,,� � ,fi�>3' �{ 3�� /�61 s s cJ �� c.y.,�,.�v�a� <br /> Owner Mail Address � City State2ip Phone <br /> ��� �� <br /> Tenanl Mai�Address Cify State/Zip Pbone <br /> ��� �= � ' <br /> Electrical Coniractor Mail Address City Slate2ip Phone <br /> Stale License Number Conlracl rice of Worl: <br /> Proposed Use oi Building Conlacl Person (Plan Review) <br /> Description of Work to Be Done: C� v /�~/� � � � � <br /> �,2�!-< �_ .a-�� , <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO F[E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SAIES TAX CODE IS 3105 <br /> I hereby ceRily that lliave read and exarnined this applicafion anA know fhe same to be true and <br /> cormct. All provisions o/laws and ordinances governing fhis typn oI work�vi/l be complefed <br /> whefher specilied herein or noL The granfing ol a perrnd does nof resume fo give authority fo <br /> violate or cancel Ihe provisions ol any other sfafe or local law reguPting consWction or fhe <br /> pedomianc oI conslruction. 7'haf 1 am authorized 6y fbe owner o/(bis propeAy to peAomi the <br /> work lor�vh ch applicafio is made and 1 compty wilh Ihe Stafe Contractors Law 1 A.27 RC W and <br /> 296.200 W C� { <br /> � ��I <br /> --� <br /> ignawre te �� ��I (1 /I` <br /> ;� lY <br /> � �1 <br /> I <br />