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—� � . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 3 �� _/Z <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-E810 - FAX425-257-8857—wvuw.everettwa.org G/�3-0�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ///dU �=c..�z�,��_��� u1�y <br /> PROJECT ADDRESS <br /> Owner Mail Address Ciry State/Lp Phone <br /> ��`7`0/� �' .l�.r�0� ///7� G—!/'l�G/LE>� 2�Ud4`� <br /> Tenant Mall Address City State/Zlp Phone <br /> �O�j,� i=��_���r� i�3eos irt`� �v��. �Vl-"_ Td�a ��� v.rs� ��z �- ( <br /> Electrical Contractor Mail Address City Stale/ZJp Phone <br /> ��� s)�sy-s�cs <br /> /�OUJE/'c� %yl05 �2000 '- <br /> Sfate License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescriptionofWorktoBeDone� /VP� �G�v ����� `SyS��=� � � <br /> �c/� S' C i�c,�.�i �S . <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 hereby certi/y that 1 have read and examined this appllcaGon and know the same to be true and ���3—�l� <br /> correct. h9 provlslons of laws and ordinances goveming thls rype o(work wlll 6e completed <br /> whether speclfled hereln or not. The granOng o/a permd does not presume to glve authori(y to <br /> violate or cancel the provislons of any other sfate or local law regulaHng conshuctlon or the <br /> perfortnance o/constructlon. That I am authorized by the owner of thls property to pertortn the <br /> work lor whlch appllcatlon!s made and 1 comply with the Stafe Contracfcrs Law 18.27 RCW and <br /> 296.200 WAC. <br /> �� �3 0� �� <br /> Signa - -� D e <br />