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ELECTRICAL PERMl� APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—www.everettwe.org <br /> APPLICATIONS F.:.E ACCEPTED FFOM 8 AM TO 4 PM <br /> �U �a ! �-�tie�'��� ��e��r ��Ju� r <br /> PROJECT ADDRES� <br /> i � <br /> � ���� <br /> �—�r�ccF �,�s �'i�reff �lc��i <br /> wner A1ail Addmss City Slale/"Lip Phone <br /> Tenanl Mail Address Cily Stale/Zip ne <br /> �ua�°,3:a�- <br /> A�PFI� r��n�w��a 953� �i 5�������� (_�%���1 9���fi ��:c�. <br /> Eleclrical Conlraclor Mail Address Ciry S�ate/Zip Phone <br /> It7, D0� <br /> Stale License Number Contracl Pnce of Work <br /> ��`�Ih)��� `,'���C�/ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescriplionofWorkto �eDone: ��'.tiIZS-�T �\�:1.(7`��;��L������ \�`U�\�� <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 heraby certil}�fhat I have read and examined fhis application and know the same fo be true and <br /> correcL All provisions ollaws and ordinances goveming this type ol work will be cornpleted <br /> whether specil�ed herein or noL The granting o/a permd does nof resume fo give authonty fo <br /> violafe or cancel fhe provisions olany other state or focalla�v reguPfing construcfion orlhe <br /> per/ormance o/consfrucfion. That 1 am authonzed by the owner o(this property fo perfonn Ihe <br /> �vork lor which applicafion is made and 1 comply with(he State Confracfors Law 18.27 RCW and <br /> 296.200 INAC. <br /> ; � � � I <br /> \:- � � �\.(� �� -.�, l,^ I llC �\�C��; <br /> Signa�ure - Da e � <br />