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i - �y -�; a� <br /> ELECTRICAL PERINIIT APPLICATION <br /> CITY OF EVERETT PERMIT SE�2VICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FR7M 8 AM T!�4 PM <br /> ���r� � �r� l fi�u flve �v� �'e{ �- (,uR <br /> PROJECT ADDRESS <br /> - ,I�il���l V1�, 2�( -- <br /> ONrt18f ail Address Clly Stale/Zip Phone <br /> �25 <br /> � v� � c� w�e It� , �,�� �ctl o � ����}Col l��r A ve E t�t e-H�-</�I �Q;� <br /> Tananl MailAddrcss City Stale/Zip Phcne <br /> Z�� <br /> � �� �- �r,�, � � s�� i�o ��,Y :-�sk=� c��-�«�;�,�.,zi� �� ��o=,Z ����- <br /> Electriwl C ntractor Mail Address ary State2ip Phone <br /> �� tzr-c � r ��c�c.� n�i� � �bo• C7� <br /> State License Number �ontract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description ot Work to Be�one: FI(��� �2 ) ��) 1i I���- �� G !L}�n �l C P I��ttf �P S <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby�ert�fy that 1 havo read and examinod fhis application and kno�v the same to 6e true and <br /> correct All provisons of la�vs and ordinances govommg this type ol work will be cnmp/eted <br /> v;hether speci6ed hemin or noL The grantinr�oI a permrt does not Presumo ro givc aufhonty fo Q <br /> violate or cancel the prov�sions olany other state or local la�v regulafing consfn.ction or the ` Z <br /> perloimance o1 cons(rucfion. Thaf I am authonzed by the o�vner of tBis propeMy to pedorm the D 1 —� <br /> n�ork lor wh�ch application is made and I compty�vdh the Slate Contracfors Law 18.27 RCW and � <br /> 296.200 WAC. � , <br /> � ./� <br /> � <br /> � ^ - � -c�?00 �' <br /> Si t Dal <br /> I <br />