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i �� � <br /> ELECTRICAL P RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE , EVERETT, WA 982G1 <br /> 425�57-8810 - FAX 425-2 7-8857—www.everettwa.org <br /> APPLICATIONS ARE ACC PTED FROM 8 Ah1 TO 4 PM <br /> . � � � <br /> , <br /> PROJECT ADD S <br /> � ' "•r�` �lZ <br /> � � ll��������n � . <br /> Owner Mall Address C�ly SlatelZip Phone <br /> , 5 � , q � "' ' I 1��-- <br /> Tenanl MailAddress Ci Slate/Zip Phonr. <br /> �j-="" <br /> �'1 � > ('� <br /> f'L.X 77�'tS L�'i <br /> 1 7C y � <br /> Electrical Con ac r Mail Address CNy SlalelZip Pnone <br /> � � �- -oD <br /> State L c nse� mber � L Contracj P( of t rk <br /> � �� � �� ' <br /> roposed Use of Building Contact P rson (Plan Review) <br /> /" q ' <br /> Descriptian of Wark to Be Done: � � � �� � <br /> � � ec'� � V <br /> NOTE: WIRING IN NON-DWEI.LINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hcreby cartily fhat 1 have read and examined this application and now the same to be true and <br /> correct. All prowsions ol laws and ordinances governing Ihis type o work will be complefed <br /> whether speci6ed herein or noL Tne granting of a permit doas not resume to give authonty ro <br /> violate or cancel the provisions ol any other stafe or local law rogu ting conslnichon or the <br /> pedomiance oi construction. That I am aufhonzed by the owner o/ his propeRy fo perlorm tbe <br /> work lor which applicalio is ma e and 1 comply witb the State Con actors Law 18.27 RCW and <br /> 296.200 WAC. �� <br /> � I <br /> SignaWre � . � '� � v �// ~/ C � <br />