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� �. <br /> ELECTRIC;4L PERMIT APPLICATIO�! � <br /> CITY OF EVERETT PEitMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 i <br /> 425-257-881 C - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 6 CREDIT CARDS ARE NOT ACCEPTED <br /> (nS'Z� 6�f'i�GL�y �dh.u�F-�E= _ <br /> PROJECT ADDRESS <br /> ��rz6�-��tb� <br /> f�ltcy !-�,�c,�- �SZ� �+--r��z�e�� ��ene�� 9�u�3 I <br /> Ownef Mail Address ' c��' StatelZip Phone <br /> �� � I <br /> Tenant Mail Address �i S�e�e/LP P�'o�e <br /> Gr�u�v 62��rr�� 7ce� /�Xo'�`/�/vg' �'EvuRrwv G�i- 4��5� �FzTB�S-z�'� � <br /> Electricai Conlractor Mail Address Ciry State2ip Phone <br /> GrNn��-s�z��ue � -� � .,� <br /> State License Numtrer Conlract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Wo�k to Be Done: /TI L �/�LN/ r <br /> -r <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 /> I hereby certi/y that 1 have read and examined this application and know the same fo be true and <br /> correct. All provisions ollaws and ordinances goveming fhis type of work will be completed <br /> whether specified herein or not. The granfing o/a permd does nof presume to give authonty to <br /> violate or cancel fhe provisions of any other sfate or local law regulating construction or the <br /> pertormance of constniction. That I am aufhonzed by the owner ol this propert}�to peAorm fhe <br /> work lor which application is made and I comply with the State Confractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �7 2� 0 <br /> Signatu D tn <br /> F Oy G7-O$7 <br />