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ELECTRICAL PERMIT APPLICATION <br />EVERETT P�RMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />:57-8810 - i=AX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />l�'' C `�• � /�L �I / l '�/ n� �� w. \Irt � 1 /' Z�l)J%7- <br />�� �,. �..�, � ,,< �it� ,.. ; l� 90 r r i, <br />Electrical Conlractor Mail Address Cdy State2ip Phone <br />;a l l`lt'��Lt <br />Slate Licenso Number <br />Proposed Use of Building <br />�L� C �i< <�� ��. i�«:�:_�� <br />WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />1 hereby certily thaf 1 have read and examined tlrs ��pplication and know Ihe same fo be frue and <br />correct All provisions ollaws and ordinances e�veminc� this type o(�vork �+i116e completed <br />whefher specificd herein or noL The c�ranfinr� cl a pernut does not presume fo give authonry to <br />violafe or cancel the provisions of any other sh�te or local la�v reoulating consWction or the <br />parformanca e� construction. That I arn aufhorizeAby fhe ownA� oi 'his property to pedomi the <br />work !or which applicafien is made and 1 comply �vith fhe State Cont actors Law 18.27 RC W and <br />296.200 WAC. � � <br />. i , <br />_i / <br />� / 1,�:. __ %�iL�n� <br />�` bi9nature Da�e <br />FEE <br />