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- . <br /> ELECT�tICAL PERMIT APPLICATION <br /> CITY G`i� EvERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8310 - FAX425-257-8857—vuvuw.everettwa.org �.�)0�1/ <br /> APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM C 1I 08�72 <br /> �I �1 � EvG ��� ,cni.. �S��� <br /> PROJECT ADDRESS <br /> `c�y,� l�q�o �LC mw,o��G <br /> Owner Mail Address Clty Stale2ip Phone <br /> V � \�nf �Gn ll�,^bCv LIb /Q l.. PN ,r`QP'n W5 L _ <br /> Tenant Mall Address ily Stale/Zip 425.^ Phone <br /> y�e:ij�r5 <br /> �vfc� ��crc�r, � 17 �.2 sZF�{�' S� �� �a,�� �5 ��/G21 <br /> Electrical Contraclor Mall Address Clty State2tp Phone <br /> �v I� c�� �� 2� io�j � / I vo_. <br /> Slate Lfcense Number Contract rice of Work <br /> `�1- �,�hF, 5 �,�� <br /> Proposed Use of 8uildfng Contact Person (Plan Review) <br /> Descriptian of Work to Be Done: �-.4,✓1� I �S�� �� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I l�ereby certify fhat 1 have read and exam(ned thls applicafion snd know the same to be irue and <br /> correct. All provlsions ol/aws and ordlnances goveming this type ol work will6e completed <br /> whether specified herein or not. The granting o/a perm�t does notpresume fo glve authority to <br /> violate or cancel the provls7ons o/any other sf3te or local law regulating construction or the <br /> performance of consiruction. That 1 am authorized 6y fhe owner o/this property to peAorm the <br /> work/or which applicatlon fs made and 1 comply with the Stafe Contrac(ors Law 18.27 RC W and �� <br /> 296.zo A�. �v�- � <br /> � � , o �,� �� <br /> Sig re Date <br />