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I � <br /> E�.ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ,� � U_�n <br /> 3200 CEDF.R STREET, EVERETT, WA 98201 J ` ^ <br /> C C <br /> 425-257-8810 - FAX 425-257-8857 —wvwv.eve�ettwa.org C/ O J—/Z 3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8� CREDiT CARDS ARE NOT ACCEPTED <br /> ( ���� C����C�Q..� W A\' <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> C'��nnuv�uv��l�Zrcw�st � 7100 �lA�rcQas6� lZc� �l�onukl� l).�R qk2 O� <br /> Tenant Mail Address City State/Zip Phone <br /> ��Nau a�tve ��Qc�s�e I�e �o box �,��;� I�.�v�v�cx�c\W A �1��� <br /> Electrical Conlraclor Mail Address Cily State/Zip Phone <br /> ��NNOV�G� \�C L � ���000> c�a <br /> State License Number Contract rice of Work <br /> i�� 5�,�� PJl_ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �l� �QJ1,l��C � —�C A1hC� C\t'CU�l�7 QN\G , <br /> S� '��� <br /> NOTE: W IRIhG IN NON-DWELLINGS IS REQUIRED TO FEE � <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 n <br /> I here6y cerii(y fhal I have read and examined this applicafion and know the same!o be true and �� ��7' ���3 <br /> correcL All provisions o(/aws and ordinances govemmg this type ol work will be comp/efed <br /> whether speci6ed herein or not The granting o(a peimd does not presume to give authonty fo I <br /> violate or cancel the provisions of any o6her s(ate or local law regu/ating construchon or the <br /> peAormance o(construchon. That I am authorized 6y the owner of th�s propeRy to peAorm the I <br /> work lor which applicafion is made and I comply with the Stafe Contractors Law 18.27 RCW and <br /> 296.200 WAC. i <br /> � ���� �y �� I <br /> jgnaWre � Da I, <br /> \\ <br /> J <br />