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( � <br /> ELECTRICAL PERMIT APPL.ICATION <br /> CITY OF EVERETT PERMIT SERVICES ����..�z <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org ��� ((�pL,�({ <br /> / <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �(�321 E��C�� `�'�.( <br /> PROJECT ADDRESS <br /> �'��S sc�tce;.�� Gso Dr�qs S� s-re���o ���e �� �1a8 _ <br /> Owner Mail Address Clty Slale/Zlp Phone <br /> l.i'��� 6,�5 �� �w �e� �-1f3�,11 �U�fce� Ww�, �� l�✓� �103 <br /> Tenant MallAddress City SWte21p Phone <br /> 1�I�o,�.eSSI�� 2�3 �wr4� So.1f'� UUcww�`� �/4�- �iS273 �G'YZy' <br /> Electrical Co aclor Mail Address Clly StatelZlp Phone <br /> ��/��G ��L�� (� �� . <br /> State License Number Contract Prfce of Work <br /> � ��� SU�� �,�CS �� ����"1 , . <br /> Proposed Use of B II ing Contact Person (Plan Review) <br /> DescripUon of Work to Be Done: `�•"`vU� ' ""'� ��—��� e�s��� �� S(�� <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS iS REQUIRED TO �E �� �� <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 f,� � <br /> 1 hereby cert7ly that 1 have read and examined this application and know the same to be true and � 1 Zd�^v <br /> correct. All provlslons o/laws and ordlnances goveming thls rype of work wi116e completed <br /> whefher speclfled heroin or not. The granGng of a perm�t does nof prosume to gfve aufhority to <br /> vlolafoorcancelthe provlsionsofanyotherstateorlocallawregulatingconsfruc(lonorlhe <br /> performance of conslrucflon. That 1 am authorized by the owner o/fhis�roperty fo peAortn the <br /> wark Ior whlch application!s m�de and 1 comply with fhe Stafe Confractors Lew 18.27 RCW and <br /> 296.200 WAC. <br /> Slgnature Date <br />