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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 3 ��z �i3 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org (_�30 3�o� q <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> —(Z�S� �;1 � r��1 _ -��'► L��1� <br /> PROJECT ADDRESS <br /> rr�,,.3 �Gl.�' oS- �'�t.�'.�t�°�� (.J�� ��19�f�'� �,w4- 9k zl�i <br /> wner Mai�Address Ciry SUle�tip Phone <br /> !� � rj � !! <br /> CI <br /> Tenant MallAddress °iry 5����P Y�'�����3r <br /> ��:��� n o��l�r�� `Zyi�� �Ebc ��ier�- � <br /> Eleclrical Contr cl� MeilAddress Ciry StelelZip Phone <br /> � o y �� �L� /�/�.--- <br /> State License Numher ConUact Price of Work <br /> �.l�l�nn v1�,Q.� � ����i�� �'I�cl <br /> Proposod Use of Building Conlad Person (Plan Review) <br /> Descriplion of Work to Be Done: �� " 1 G�C� �� �� �L� � — <br /> � NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> � BE IN RACEWAYS, MC OR AC CABLE. ��,��`� <br /> l/ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � -� _ ��v- <br /> 1 hereby ceAily that I have read and exnmined this applicatlon and know the samv to be true and L ` 7 �� ( <br /> conoct. All provisions o/laws and ordinances goveming this type of work will be completed <br /> whelher specified herein or noL The granfing ol u permit does nof presume to give aufhonty fo <br /> violate or cancel fhe pronsions ol any othor state or local law regulating consfruction or the <br /> per/ormanc�o/constructian. That I am aufhorizod by the owner ol this property fo peAorm tho <br /> work for which npplicafion is made and 1 comply wifh the Sfato Confractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> noWrc Dat � ��� � <br />