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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 /> /� ��3 —A� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM E���� _�b Z <br /> (7i J� C r-.-�Fs:^��-•1/ �..�-'� 't�7�GYo �.Wc+t— <br /> PROJECT ADDRESS <br /> OWner �� Mall Address Ciry StatelLp Phone <br /> EJ�C'�}'!' C17^q.�+-tN�"7C���'SL C��t 1/NJCl�c�� <br /> Tenant Mail Address City State2ip Phone <br /> ('�--N�- ��i u F,�s l��t� ��hi, ����-/ ��-t� c,-w�. � ss��r as�-3s3-�cac <br /> Electrical Conlraclor Mail Address Clty State2ip Phone <br /> GA-NT"SSL�1o�t Q�i sl�l� , Oc�o <br /> Slale License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescripUon of Work to Be Done. ��S 1-< <I� NS �O � �., � � C<.�jt�s i'O� <br /> � <br /> vo< « .� �� �-�, <br /> NOTE: WIRING IN NON-DWELLINGS IS REG.UIFED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I <br /> 1 hereby certi/y thaf I have read and examined this appllcation and know fhe same fo be frue and G � � � � � � �p Z <br /> correct. All provisions oflaws and ordinances goveming fhls type ol wor%;will be complefed <br /> :vhetherspeci(led herein ornot. The grenting o/a permif does notpresume to give authonty to <br /> violate or cancel the provisions ol any other sfate or local law regulating consfruction or fhe <br /> perfom�ance of construcfion. That 1 am authorized by the owner of fhls property to peAorm fhe <br /> work lor which applicafion Is made and 1 comply wifh the Stafe Contracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ��%"" l��j���"� �t��13��( <br /> StgnaWre Date <br />