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� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT P�RMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> �� al —I( <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��/ 0 9 `� <br /> I �� G ra-E'�mG� �O•y # I o 1 <br /> PROJECT ADDRESS <br /> Owner Mall Address Clty Stale/Zip Phcne <br /> C�e CL�' �Gr�1M� SnYne 0.5 C�OV — <br /> Tenant Mall Address City State/Zip � �/'�� q� <br /> T �F <br /> �6uSE �l�ec�-r;C ��� 18�-1� F� 1ti �"�� E�� wf� t`'��cx�- <br /> Electrical ConUaclor Mall Address City State2lp P one <br /> ���—�'���5� � 6. SC�� . ° � _ <br /> Slale License Number Contract Price of Work <br /> �a,<\ - ��ee shoP . <br /> Proposed Use of Buflding Contact Person (Plan Revfew) <br /> Descriplion of Work to Be Done: �e�aY�l � � Y� U��'�.1�� . <br /> � L�ne \l'ol-� Uvc�Yk-S OY1 �V <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify thaf 1 have read and examined Ihls applicatlon and know the same to be frue and <br /> correct. All provislons ollaws and ordinances goveming this type of work will6e completed <br /> whefher specilled herein or nof. The granting of a permif does not presume to glve aufhority to I <br /> violafe or cancel fhe prov(sions of any other sfate or local law regulafing consfrucfion or the � <br /> perfomiance of c� nstruction. That 1 am authorized by the owner oI this property fo peAorm the <br /> work Ior whlch applicntlon!s made anJ 1 comply with fhe State Confrac(ors Law 18.27 RC W and � i�� <br /> 296.200 WAC. <br /> � � �O� <br /> SI na Dale <br />