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i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.evereriwa.org <br /> APPLICATiONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Y.S-� � f�%'E�J T /'•�' . <br /> PROJECT pDDRESS <br /> ,�i��K �' /�!4vs�-i✓ �33,7F�Jro2 ����c�rr tv� l�'�c,' y�1= z.r-8 <br /> OyynE� Mail Addrass City State2ip Phone ?2- / <br /> Tenant Mail Address City StatelZip Phone <br /> �� <br /> Eledrical Contfador Mail Address Ciry State2ip Phone <br /> State License Number Conlrect Price of Work <br /> ,�crT=.�Fiv C� <br /> Propnsed Use of Buiiding Contact Person (Plan Review) <br /> Description of Work to Be Done: �/�5��" lC- /'ANF� �irIFX? �a JG� �� ''"'�[t- <br /> /I"Fi.f2 <br /> NOTE: WIRING IN 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 /> 1 hereby certify that 1 have read and examined this application and know the same to Ue true and <br /> correct. All provisions of laws and ordinances goveming fhis type of work will be completed <br /> whether specified herein nr not The graniing of a permR dces not resume to give�ufhonty to <br /> violate or cancel the provisions ol any other sfate or local law 2guPting conshuctia�i or the <br /> perfonnance of construction. That I am authonzed by the owner o/fhis property to perform the <br /> work lor which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. � <br /> �/ / <br /> �j��/�41i,1 ��)� C.� ///��� <br /> ' nature ' i ate � ,/ ' <br /> � �o�' � <br />