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� � �� � � �( <br /> , <br /> , _ ��� ,� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320D CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857–www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> %_, � �,�, �� <br /> 1 (�) � <br /> PROJECT ADDRESS <br /> — � , <br /> � � � � ; <br /> Owner MailAddress Ciry State2ip Phune <br /> � � � � � �� <br /> Tenant MailAtldress Cny State/Zip �'21,�ne =�- <br /> � ��� <br /> I � � � ��J� �' �i�� '� � v;. I' l� �� �� i` S'`-`, ^�:- <br /> Elect calContractor MaAAddress Ciry State2ip Phone <br /> �T r VI���J �� �r� <br /> �� -- <br /> State Li nse Numbe�� Contr�of Work <br /> ��r I21�.�� I ��r�n ��.hv����t--�- <br /> Proposed Use of Buildmg Contact Person (Plan Review) <br /> Description of Work to Be Done: � l l <br /> NOTE: WIRING IN NON-DWEILINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> LtTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hemby ceriily fhat I have read and examined this applicafion and know the same to be true and <br /> correct. AlI provisions ollaws and ordinances govemmg this type o/work wil,�be corn,�leted <br /> whefher spucified herein ornot 7he gianting ol a penmt does no�presume to give authonty to <br /> violafe or r.anr,el the provisions ol any other sfate orlocal law mgulatin�consfruc(ion or the <br /> peAomiance ol constn�chon. That I am aufhonzed by the owner oI this p�operty(o pe�form fhe <br /> work/or which application is made and I comply wilh the S(afe Confractors Law 7327 RCW and <br /> 296.200 WAC. �� U � -G�'� <br /> •�' i � i f (i V 7 <br /> '�l��f �t / � � � <br /> % Slgnature ��" � �� Daie <br />