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( <br />ELECTRICAL i'ERMIT 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 s— a- �—� 9 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (� ��7 0 S �2 lo <br />i �// , �% %�,�' ��l/ <br />PRCSJECT AD RESS <br />owner <br />Tenanl <br />Mail Addi <br />Mail Addross <br />ElectriCal Coniractor A1ail Address <br />Slale License Number <br />Proposed Use o( Building <br />r <br />Slate2ip Phone <br />`(d"S`y1�ai <br />State/Zip Phone <br />Stale/Zip Phone <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Descriplion of Work to �e Done: ����-����X^ v I /� L�' �C`"��� - i2 <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN R,4CEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br />1 hereby certily thaf i havo read and examined fhis applicafion and know the sarne fo be We and <br />correcL All provisions of laws and orc/inances govemmg fhis type of work will 6e complefed <br />whefher speci�ed berein or noL The granting of a ponnR does nof prosume fo give aufhonty to <br />violafe or cancel fhe provisions of any other state or local lae regulating construction or fha <br />per�onnance o/ constniction. That I am authonzed by the owner ol this property to perfomi the <br />work lor which application is mado and 1 comply wifh fhe Stofe Confrnctors Law 18.27 RC W and <br />OOG O/1/1 �A/Al�--. <br />FEE <br />�- o`�OS' I Zk <br />