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r <br /> ; <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ��1` ` <br /> 3200 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 /> r � I_ �; I�%, J� <br /> PROJECT ADDRESS <br /> �� ��,�_ ., N� ,,;,��,+ L83 I��MM U.. C aMa�o 151u�J ►�� `lg�82 '�'25 �� �7-7 >� <br /> OWner Mall Address Clfy Stale2lp Phone <br /> � <br /> Tenant Idail Addross City StalelZip Phono <br /> ! <br /> Eleclrical Conlraclor Mail Address City S'ele2lp Phone <br /> ;i• <br /> Slale License Number ConUact Price�of WorY, <br /> Proposed Use oi Building Conlacl Person (Plan Review) <br /> \,r'.�.� <br /> � _�_'��p'��,,: <br /> n <br /> DescriptionofWorktoBoDonc: v,, .� ���,i �: :���lVpp�ns � � ,• ���i�•����,� � y: �.',;��: ,� <br /> ;, ` . n - .1 , - <br /> . .. , .� r � � � I'��I� AAiI ?����. a�i �. ,� i�.�M:ll .. ��...., ��..(io <br /> 1 { <br /> NOTE: WIRING IN NON-DWELLINGS IS RE(lUIR[D 'TO FL=E <br /> BG IN RACEWAYS, h1C OR AC CABLE. <br /> CITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ce�tily(hal 1 fiave rend and ex�mined this applicafion and knc�v fhe same fo Ge fn�o end <br /> corcect. All provlsions olla�vs and ordinances qovemmg fhis type ol�rork will he complefed <br /> H1�efher spec�6ed herein or noL The granting ol a pernuf does nof uesume fo gire aufhonry to <br /> violafe or cancel tho provisions o(an}�ofherstate or locallmv re�u�afing consfrucfion orthe , i' <br /> pedormonce of construction. 17mf 1 am eidhonzed Gy the owner ol this propert}�!o perfonn fhe ; '1�� — ��.� <br /> work!or nliich applicalion is made and 1 comply uilh fhe Slate Contrncfors Law 18.27 RCW end /' / � <br /> 296.200 WAC. (� <br /> -- ' � � � - ��. ��1 _ I.�.�. <br /> Signalure Date <br /> � <br />