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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 425-257-8857 —www.everettwa.org <br /> AFPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2 �L� � �L� � (,1 r11 I� �CL �� - <br /> PROJECT ADDRESS <br /> �� -F���1' �T �V � ��� l <br /> Owner Mail Address City Slate2lp Phone <br /> Tenant Mail Address Ciry State2lp Phone <br /> ��l C(,(.f �1'J � � '��?� � �1/�C' - <br /> Electrical Conlreclo� Mall Address City Slale2ip Phone <br /> ►r�ir�A fr�� I"�y�/R/�- <br /> Slate Licenso Number Contract Price of Work <br /> � G�l I'1 <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description of Work lo Bo Done: ���}� ����'�'" � ` <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 ihut I havo read and examined this application and know fhe same to be We and � ��U Gr_L,�G1 <br /> correcL Afl provisions of la�vs and nrdinances goveming this fype ol work will bo completed <br /> whefher specified herein or noC The yranfing of a pernut does not resume to give suthonly fo <br /> violato or cancel Uie provisions of any other sfafe or local law rec�uPting construction or the <br /> perlormance olconstruction. rhat 1 am authonzed by the o�vner o!this property to pedomi the <br /> work lor which application ls mado and 1 comply with the Stafe Contractors La�v 18.27 RC W and <br /> 296.2 AC. <br /> � ' <br /> � � ��/'�!' �/•_ �J <br /> Signaluro Dale <br />