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\ \� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ; � <br /> 3200 CEDAR STREET, EVERETf, WA 98201 �I'� ' <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��� �J � � �UwS✓P�n.. l�//�1- <br /> PROJECT ADDRESS <br /> �G Ll 2✓1 �'��t�� <br /> Owner Mall Address City Slate2lp Phone <br /> Tenant Mail Address Cily State/Zip Phone <br /> /1/vv�i�1^ �^-t� c�� V�d�v �� 2 w G 2^"' ,A,� tit ��,�7U� ��,✓�. ��zZ3 <br /> Electrical ConlraCtor Mail Address City Slate2ip Phone <br /> 36�-y�_p37 <br /> �/�/�r l�, f+v �J71 �� � 35 oa <br /> State License Number Contract Price o(Work <br /> �x1-� ILiH � <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion of Work lo Be Done: �l�G ����''�- � ' G /h � ��� � h� �' `� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily Ihaf 1 have read and examined this applicafion and know the same to 6e true and <br /> correct. All provisions o(laws and ordinances governing this type o(work will be completed <br /> , whefher specilied herein or not The granfin�of a pemid does nof presume fo give authonty to <br /> violate or cancel the�rovisions ol any other state or local law regulafing construction or fhe <br /> per/ormance o(construcfion. That 1 am authonzed by the owner o/this property to peAorm fhe � <br /> work Inr which application is made and 1 corr;ply with u:e State Confractors Law 18.27 RCW and – � � <br /> 296.20ll WAC. <br /> "7 ✓/) ��/ <br /> — 3i��;� � Date���0 ��� / I <br />