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� ' `� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY nF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—vdww.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �l:Yv�� G���;��r<<�;� �,�, y� q �r�� � <br /> PROJECT ADDRESS <br /> OwnBf Mail Address City Stale2ip Phone <br /> �l��vo�• Cc,�m ll�'Dt Eu'r��i�r�f .� �+C ��z�'� � lJA <<���y �C�, -5/y3-.a�o;; <br /> Tenant Mail Address Cily Slate2ip Phone <br /> .' <br /> �n��c �i�, �n� -3"�1� .s /�'�''.�f �c'„ LcJ� C/�'C1a,i y)i(o.;/v- �/�� <br /> Electrical Coniraclor Mail Address City State/Zip Phone <br /> �� <br /> �Rr�i C-0/�-s.� /��' ���'SDU <br /> S ate License Number Contract Price of Work <br /> ��� r�� L � ,,�� <br /> Proposed Use of Building Contact Person (Plan Reeiew) <br /> Description of Work to 8� Done: '1 L � c L�n �d��� I <br /> NOTE: WIRING I� 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 /> I hereby certily that 1 have read and examined this application and/mow the same to 6e true and <br /> correct. All provisions o/laws and ordinances governing this type of work will be compfeted <br /> whether specified herein or not The g�anfing of a permd does not resume ro give authonty(o <br /> violate or cancel tne orovisions o/any othersfate or locai law reguPting corrstruction or the <br /> pedormance o(consWcfion. That 1 am authorized by the owner of this properiy to perform.he <br /> worklor v.�hich application is mad�and 1 comply�.vifh the State Contractors taw 18.27 RCW and <br /> 296.20� WAC. . <br /> � , / �� <br /> �����.c� �� � <br /> �ignatuie Da e 7 <br /> 7U` � �' J <br />