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, <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � - a�--�� <br /> 425-257-8810 - FAX 42�•257-8857-www.everettwa.org �D7 D 6�'�� <br /> APPLICATiONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROJECTADDRESS � �..,�( iI n � /.,Y Q a p <br /> � �} ..�JG6' �_a-��l,"� <br /> Owner Mail Address Cily State2ip Phone <br /> Tenant Mail Address Cily Stale/Zip Phone <br /> P C—Cgc � c � N c <br /> Eleclric I Contreclor Mail Address City State2ip Phone <br /> _C��1 ��9 c�3 k�' <br /> Stale Li ense�umb r Contract Price of Work <br /> Proposed Use of Building Conlact Person (Plan Peview) <br /> Description of Work to Bc Done: <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEt: <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby c•�rtily fhat 1 ha��e read ond examined fhis application and know fhe same to be true a��d <br /> correoL A�l provisions olla�vs and ordinances goveming fhis type of work will be complefed C V''l(y��-13z <br /> whefher specified berein or noL The granting o/a permit does nof resume to give authonty to <br /> violafe or cancel the provisions oI any other state or local law reguPting wnstruction or fhe <br /> pedomiance o/construction. rhat I arn aufhonzed by the owner o/this property to pedomi tha <br /> work(or which application is made and 1 comply with fhe State Contrac(ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � ,� / r�-22—U�- <br /> e Date <br />