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— � <br /> ELECTRI�AL PEkMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ���� rr/�-.. �7 .�o p <br /> PROJECTADDRESS ^ �� � <br /> ��., o � ������ 3�00 ��,l�s'r /��'r :s-Zo _ <br /> Owner Mail Addross Clty Slate2ip Phone <br /> ��1-c R T /`��i/"� <br /> Tenanl Mail Address Ciry State2lp Phone <br /> So�� <br /> Eloclrical Contraclor A1ail Address City Slale2lp Phona <br /> �6pn� <br /> Slate Licenso Number Conlrecl Price of�Work <br /> Ucu,��/%7a.//6�-`/ <br /> Proposed Uso of Building Contacl Person (Plan Review) <br /> � � /� r <br /> Doscription of Work l0 6e Dono: i�lJ �+,rl �rUi c-C � Tct/r4*-� C�'L�,�-`" � <br /> NOTE: WIRING IN NON-DWELLINGS 13 REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily th��!l l�ave rend nnd exnrnined tHis applicntion and kno�v the same to be fnr�end <br /> corToct. All pruv!>ions o//aws and o�dinances gcreminc�fhis lype ol work�vill bo comploted <br /> rvhefher specified he�ein or noL The grantinc�a/a permd dnes nof rosumo to give aufhonty fo <br /> violato or cancel fho provisions of any other sfa(e or local la�v reguPating construclion or the <br /> peilomiance of construction. That!am aufhonzed by the owner ol lhis�roperty to peAorm the <br /> �vork for ivhich applicufion!s mado and 1 comply�vith fho Sfate Contracfors Law f 8.27 RC W and <br /> 296.200 WAC. <br /> �-'--�.:t, - / /j.--� 7'_ /S=lc� � 7 ,� <br /> Sic7naNre Dale t <br />