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( . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �_03/Z <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org � I II7,�/3Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � � � ZO ��w�- l � S� <br /> PROJECT ADDRESS �Z s �lZ 2 g I I <br /> .,/�1�Ncc 11 \�@' ) V`cc0�l ���IZSV'�1S4��vv.r,���ut� �c`1.wifir.�Cj �12 <br /> pyy�e� Mail Address Clty State/ZJp Phone <br /> Sur�Ss'�- IdU`•����� 11'l � �tv���lso �.74�n�, CQJ� �i� 2oy <br /> Tenant Mail Address CIty StateZp Phone <br /> _�W N 4-�l <br /> Electrfcal Contractor Mail Address Clty StaleZp Phone <br /> State License Number Contract Pdce of Work <br /> Proposed Use of Buildinp Contact Person (Plan Review) <br /> o ` � � <br /> � � <br /> Description nf work to Be Done: � YGC-� (/��� A"\ `c�`rZ \ ��� <br /> � � S��r.� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVFRETT LOCAL SALES TAX CODE IS 3105 <br /> 1 here6y certi(y fhat I have read and examined this application and kncw the same to be true and ���Z ' ��Z <br /> correct. All proNsl^ns o/laws and oNlnances goveming th(s type o(work will be completed <br /> whether specifled herein or not The grantlng o/a pertnit does not presume to give authorify to <br /> vlolate or cancel the rovlsions of any other sfate orlocal law regulaHng conshucUon or the <br /> perlortnance of con ' n. That 1 am authorized by the owner of thls property to perfortn the <br /> work/or whlch a icaGo !s made and 1 'h fhe Sfate Contractors Law 18.27 RCW and <br /> 296.200 WA . ��-� <br /> � <br /> �Z` Z� 1 � � <br /> nalure �e� �— <br />