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� � . <br /> ELECTRICAL PERMIT APF'LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �j—D�`� Z / <br /> 425-257-8810 - FPJC 425-257-8857—www.everettwa.org G/� .�r��010 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �l y� �U�1'�e��V� � � <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phona <br /> S� �g �ve�-�r,�-� w� -� � �✓.er��t w,�- ��''-U3 <br /> Tenant MailAddress � ity State2lp Phone <br /> 1��l i`I� �y� �l�- � �'( °� ��� / I� �A�' '�Y�)h w o z� W �- / � �' ') <br /> Electrical Contractor Mail Address City —� State2ip Phone <br /> �o <br /> 1���rc �L S'33 gl' � j ��`.-- <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: 4�i- G"��ne�� S��'` w:`r'i'' -C,,o 2��'� �� �'(�'j� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � /-�� <br /> �J <br /> CITY OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that 1 have read and examined thls application and know tho same to be true and � I � �-0� <br /> correct. All proNs7ons of laws and ordlnances goveming fhls type of worlc will6e completed <br /> whether speci�ed l�erefn or not. The granting ol a permit does not presume to glve aufhority to <br /> violate or cancel the provlsions of any other state or local!aw regulating construction or the <br /> performance of construction. That 1 am euthorized by the owner of this property to perform fho <br /> - —work-for-whlah�eppllcation•Ismede�and�Fcomplywitfrthe-Sfafe-Gontractorst�ew�f8-2�REW-ertd <br /> 296.20U WA . <br /> ,G' // ��(/� � <br /> Signature Date . <br />