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� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857-www.everettwa.org /� as"�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ����� -�� � <br /> ��� ��\ �.c\� c�v.e � F��' e <br /> PROJECT ADDRESS <br /> ` ' �'r� \ :? ��i � d I� 1- ' 1`� '��S � <br /> ,jiz,; . o ,.,oW L 11 (;,�.( rer uc �2ntF �t�S.�I`� -5-�1 I <br /> Owne� MailAddress City Slate2ip Phone <br /> Tenant MailAddress City SlatelZip Phone <br /> � j` L��S-.?�I'� - ���I�I <br /> ��I : SI���� �� � jc;�� �� f.� l.( �:.1 �.(.5 ��.b`� �,. I. CGJti���G� d 'ZU'� LVi�t't4 1��-��� <br /> Eleclrical Contrac or Mail Address City StalelZip Phone <br /> \.�1 � S I-IZI� G �� o��= � `3�.00`_ <br /> State License Number ConVact Price ot Work <br /> � 0 <br /> � 1\ �3 �� 1'iA��C� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescriptionofWorktoBeDone: 1`i���� vZJ a \\� G1r,<< d f� �n��r�.\ I>,� S 1- � f '��c.(i <br /> l �J O� :1,OU 1 � C' � C k � 3 �V.\\l' � (iS nf�l ♦ n ' <br /> 1 <br /> �) �l ( 'h , 1��C� !�. i Ct �� `�\\�.�'. ,�i<���e tv.� <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 horeby certilylhat 1 have read and examined this application and know the same to be true and <br /> correct. A/l provisrons o/laws and ordinancos govemmg this typa o/work will be completep <br /> � whether speci6ed herein or noL Tho granting ol a pemid does not presume to give aothonty to <br /> violafe or cancel the Provisions o(any ofher stato or local law regu/ating consWchon or tho <br /> peAormance o/construction. That f am authonzed by the owner o1 this property to perform the <br /> work lor which applicafion is mad d 1 comply witb the Stato Contractors Law 1827 RCW and <br /> 296.20�.�.�%� ' O� <br /> / � ' <br /> ���� � � '�`/ //I � � � � � <br /> Signature ' Date <br />