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n <br />I `� � I �' <br />PROJECT ADDRESS <br />�LECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />a-a� �oy� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />���,���c� ���v� <br />�' ��r�c Cz'�'Il�'�t.����� l �t��'C._ �(�I��(��� c.e�r� <br />\` <br />Owner Mail Address Cily StalelZip <br />Tenant <br />��w Nz <br />Eleclrical Contraclor <br />hizil Address <br />A1ail Address <br />State Urrnse Number <br />S� P � J <br />iR.Cr�(" PI.M.� y �`PS(4r1��(��' <br />Proposed U�ot duilding � <br />� <br />Descriplion o( Work to Be Done: <br />NOTE: VVIRiNG IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />City. <br />Ci�y <br />F�s� <br />State/Zip <br />Slate/Zip <br />G-O�j' b Z / O <br />�— <br />�zs-z3 i -�8?�' <br />Phone <br />Phone <br />Phone <br />CoNracl Price of Work <br />Contact Person (Plan Revie�v) <br />� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certil}� that I have read and examined this application and know the sarne fo be fn�e and <br />conecL All provisions o/ la�vs and ordinances govenung thrs t;�pe ol work will be comp/eled <br />whether speci6ed i�erein or not The granfrng o/ a permd does not preswne to give aufhonty to <br />violafe or cancel the provisions olany other sfate or local law rec�idating consVuction or fhe <br />peAormance ol const�udion. Thaf I am aufhorized 6y the o�ti�ner o/this properly to perform the <br />�vork /or which application is made and 1 comp/y �vifh the Stafe Confractors Lan� 18.27 RCW and <br />296.200 WAC. <br />—�/� �� ^� C <br />�- � �.,... ,,... � . „ <br />� <br />��,� �� � <br />FEE <br />r C��I �� - � � �i� <br />