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�. <br /> �LECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES _ <br /> 3200 CEDAR STREET, EVERETT, WA 98201 i � '.' ' <br /> 425-257-8810 - FAX 425-257-88:7—www.everettwa.org <br /> APPLICAI�ONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I ' I � �1 �l�vn. �;,z ���v iJ-�S— <br /> PROJECT ADDRESS <br /> ��,'R-� c � ,G i i L ' <br /> ONmet Mail Address City SlatelZip Phone <br /> �- _� <br /> �I�D !I-'�r2 ��Si�: L� 2�}4rt,l - <br /> Tenent Mail Address Ciry State2ip Phone <br /> C <br /> �IArL+�..�i� c.i-I� Z�)C.. i U ��x � L.AIL<,c�2 ' b(�J <br /> Electrical Contrador Mail Address �- Ciry Slate2ip ,�,�� c�3 Phone <br /> '7u� <br /> �RI� � � <br /> 1� I �.� z � �� � �-I N � � �� coov�a P�ce�r wo� a8'DU — <br /> State License Number <br /> r • <br /> --� �,,�ji� �c-(� r`c� ��-- _ <br /> �1� �1 ;3.� 2 r-a n� �_ <br /> Propo ed Use of Building Conlact Perso� (Plan Review) <br /> Description of Work to Be Done: /�' �� Iv �i �J-n t�cJ �L�.��n���=S S/L� �-r� <br /> �n� � � �2 (7� � <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 /> 1 here6y certily that 1 have read and examined fhis applica6on and know the same to be true and <br /> correct. All provisions of laws and ordinances goveming fhis type o/work will be completed <br /> whetherspecfied herein ornot. The granting o/a permit does notpresume to give authonty to <br /> violate or cancel the provisions ol any other state orlocal law regulating construction or the <br /> periormance o/consfruction. That I am authorized by the owner o/fhis property to peAorm the <br /> work(or which applicaBon is made and 1 comply with the State Conhactors Law 18.27 RCW and I � <br /> 296.200 I � � <br /> ��/ � ��(� /- y-�� <br /> SignaWre Date <br />