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ELECTRIC:AL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, `NA 98201 <br /> 425-257-8810 - FAX 425-2G7-8857 —www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br /> � �-ll 3 ��ti l�--U� S�mef <br /> PROJECT ADDRESS <br /> A� /ti� �fZ.S�Z2� 2 `i <br /> E-l(�uc� Qr�khers 3�Zz � 4���b ('i�a�so ; I le c�►� �i � Z�7c� <br /> Owner Mai�Address Cily Slate/Zip Phone <br /> Tenant Mail Address City StatelZip Phone <br /> ��dCtc� �S <br /> ElBclriCal COnl�acl0� 1.1ai1 Address City Slale/Zip Phone <br /> Slate License Number Conlracl Price oi Work <br /> Proposed Use of Building Contacl Person (Plar,Review) <br /> �p,n� �i <br /> Description of Work ta Oe Done: �l������ L— e �r t C" <br />-� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREDTO FEE � <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> r-�/"j <br /> �l/ <br /> CITY OF EV[RETT LOCAL SALES TAX CODE�S 3105 � <br /> � <br /> I hereby certily that I have read and eKdrnined fhis application and kno�v fhe same fo be true and /'`, L�� � � � <br /> correcL All provisions of laws and ordinances�oveming this type o!work �vill be complefed u <br /> �vhefher speafied herein or noL The r�ranfing of a pemut does nof presume fe give aufhonty fo <br /> violote or cancel the provisior,s o/any ofher sfato crlocal law re�ulating construction or fhe <br /> performanca o(consfn�ction. That 1 am aufhonzed by the o�vner o/th�s prnperty fo pedonn the <br /> work(or�tihich application is m do ond 1 comply�vifh fne Slafe Contracfors Law 18.27 RCW and <br /> 296 200 WA 1 <br /> � <br />- 0 �l Z-D I <br /> nalure � ate <br /> � <br /> � <br />