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. � � i -� 7 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —vdww.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��f - �'� f �>�� <br /> `hROJECT ADDRESS � <br /> Ownef Mail Address City Slate'Zip Phone <br /> Tenant Mai�Address Ciy State/Zip Phone <br /> �C�V// �J L/ <br /> Electneal Contracior Mail Address City State/Zip Phone <br /> Slale License Number Conlract Price of Work <br /> Proposed Uso of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: l�l.l.��. �/f f�,�L,i ��Q� <br /> Y't <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> h <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriily Ihat 1 have read and examined this applicalion and kno�v the same}o 6e frue and <br /> conecL All provisions o/laws and ordinances govemmg Ihis type of work will6e completed <br /> whether specdied herehi ornof. 7he�ranting ol a pennit does not resume fo give aufhonty to <br /> viola}e or cancel fhe provisions ol any ofher sfate or local law reguPting conshuction or the <br /> per(ormance n/construction. Thaf 1 am aulhorized 6y tbe owner ol thrs property fo perform fhe � <br /> work lor which application is made and I compty wifh fhe State Confractors Law 18.27 RCW and <br /> ?96.200 WAC. . <br /> c � � � <br /> �� ..` _( ' �����2_� ����/U � �'n U <br /> V ' <br /> Slgnature Date ' <br />