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. /C�G•5� ' . `�� 7 ' <br /> ELECTRICAL PERMIT Af'I�LlCATIrJN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 4?.5-257-II657–www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FRUM 8 AM TO 4 PMl <br /> �,,>�/L�(I <br /> '�X� \ �Vt-rr .-eo-v... �C� <br /> FROJECTADDRE S <br /> OWflef MailAEdress C2y Stafe2lp Phone <br /> f425� <br /> F�ar�or� Fre el�h 5'131Fv�r�;rt'v�l.vc�v �'v� r� u�A �Fr�l•S Si� �(,:� IZ <br /> Tenanl MailAddress Crty StatelZip Phone <br /> 1 �l\ <br /> J�larm (ic�n r�inc 7UJ�•�X 'S'�G`7 LrC:�I Lt�� ��"�7 �1 'i9vL32C`, <br /> Elec�fiCalContrflctor MailAddress City StatelZip Phone <br /> � � �.��� <br /> nl .i2�ter ����('�� � � v _,_7 �' i5 SU <br /> State License Number Conlract Price of Work <br /> Q���-�� <br /> Proposed Use ot 6uilding Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: �c'�C� dl'1 �� ���5 Y� vtC ��� ����� C(�(�-li r'rt: <br /> �'cs<` M — – <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � UU <br /> 35 _� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceRily thaf I have read and examinetl this application and know fhe same to be frue and <br /> conect. All provisions o!laws and ordinances goveming lhis type of work wiil be completed <br /> �vlietl�er speci(ed hercin or no(. The granting of a permrl does notIxesume to give authonty lo <br /> viola(e or cancel the p�ovisions o(any ofher state or local law regu/efing construction or tlie <br /> performance olconshud+on. fiaf I am au(honzed by the owner olthis properiy�o pedorm the <br /> work Ior which applicafion is made and 1 cnmpry with the Sfate Confractors Laiv 78.27 RC W and <br /> 296.200 WAC. <br /> ��_ ' ��,l�. �� /G�-,�-� (, <br /> Signati�re Date � <br /> C�'° _� <br />