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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 - FAX 425-25'-8857—www.everettwa.org E�6iD--d 2� <br /> APPLICATIONS ARE ACCEPTED 1=ROM 8 AM TO 4 PM <br /> � �y�a�SL� �✓o �JI/�.— <br /> PROJECTADDRESS <br /> ��� ��a� <br /> Ovmer Mail AdCress City State2ip Phone <br /> Tenant MailAddress Ciry State2ip P�one <br /> V�f}� Flrc.�ri 4o B�X z�oQ' 1C-��s.s-�n/ W��`f�S 36o Z�s'=,�y � <br /> Eledrical Conlrador Mail Adtlress ity State/Zip PAone <br /> v�-Pr��-9yzrrr �s � 3� �� .��s�o = <br /> State License Number Contract Price ot Work <br /> rPs,d�ti-fi`a I <br /> Proposed Use of Building Contad Person (Plan Review) <br /> Descnption of Work to Be Done: ��� elc�7�"�CQ / �oW �v��� <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 ho�o6y certily fhaf I liave iead and examinod fhis applicafion and know the same fo be fnre and <br /> correct. All provisrons o(laws and ortiinances gowmmg fhrs fype of xrork will be c�ompleted <br /> whofher speafied hort�in or not Tho granting ol a permd does not presume to give autlronty fo <br /> violaf¢or cancel fhe provisions oI any othersfafe orlocallaw regulafing consfrudion or fhe <br /> peAormance o!construdion. That I am authorized by fhe owner o(fhis proporiy to per/orm fhe <br /> work(o�which application is made and/com y wifh fhe Stafe Contractors La�v 18.27 RCW and <br /> 296.200 WAC. ' <br /> �,-��7 � � <br /> ?—�/ ,�' i�- y - 06 � <br /> Sig uro Date y <br /> C`�I� ✓ <br />