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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320U CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FRGM 8 AM TO 4 PM <br /> �oor I ���-Fr��r � <br /> PROJECT ADDRESS <br /> Oxme� Mail Address Ciry State2ip Phone <br /> NoQ6 Lohb <br /> Tenant MailAddress Ciry S�a�e2P Ph°ne <br /> (�A���-„� S��„� � D��/��ri 4 �� ��x 8�o G �-P� ct�v� 9BS�q �G�n f�9��o70 <br /> Electrical Contrador Mail Address Ciry Sla�e/LP Ph°"e <br /> CAP.f-rS►hozZg � �# f`�9o. �-d <br /> State License Number Contract Prica of Work <br /> ,��f�,* ( '�; 11 �o�( <br /> Proposed Use of Building Contad Person (Plan Review) <br /> Description of Work to Be Done: ����' Z �A f � `����( S <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> 8E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that 1 have read and examined this application and know the same to be hue and <br /> correct. All provisions of laws and ordinances goveming fhis type o/wak will be completed <br /> whether specified herein or not. The gronfing of a permit dces not presume to give authonty to <br /> violate or cancel the provisions of any other state or local!aw regulafing conshuction or the � <br /> performance of conshuction. That 1 am authaized by the owner o/this properry to perform the <br /> work for which application is made and I comply with the Sfate ConMac[ors Law 18.27 RCW and J? <br /> 296.Z��WAC. //v g - � <br /> d� ��� llL��2o�� <br /> Signature Dale <br />