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+ . rl <br /> � r� '�� ' <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—wv�rw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � �C� -� ��l n �. <br /> � cY�,���z� nr Ci�tt�) rkzc�3 <br /> PROJECT ADDRESS <br /> �'c.:, SJ��«Sc`�� 7`lG Crc�.�.� (�r �vrrc�� h/�� 9�7C3 W7S 'ZSZ'!�172 <br /> Owner Mail Address City Statc Zip Phono <br /> `j i. �c..(' <br /> Tenant Mail Addross Ciry State2ip Phona <br /> Electrical Contraclor Mail Address City S1atelZip Phono <br /> State License Number Centract Price of Work <br /> � .�, Y�i G L ��.v �1�1�\��S(i!'� <br /> Proposed Use f Building Conta t Person (Plan Review) <br /> Description of Work lo Be Done: �t,�1 U ��c�4 v' 4' f U U�� � U O /a��'1� ��p�U f C�' <br /> '�fCl�� �\O�iS 'L �1 � a�Pq. Gt� R) ff2 [�i�.� � �11 A «�/ �. /Q1\�� <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi(y that I have read and examined(his application and know tlie same to be frue and <br /> correct All provisions o/laws and orrlinances govemmg this type o/work will be completed <br /> whether specdied herein or noG The granting oI a permrt does not presume to give authonty to <br /> violale or cancel the provisions o/any ofher stafe or local law regulating consfruction or the <br /> peAormance o/consWche�. That I am authonzed by the owner o/this propeRy fo peAorm the <br /> work(or which application.s made and I comply wi(h the State Confrecrors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ��� �' � �`�'�' % <br /> �,. <br /> .�.,.. <br /> �'�%'� �Sign�re Date <br /> i� <br /> / � � ' � _i <br /> — ����� <br />