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,� t. <br /> ELECTRICAL 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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> i-' , <br /> >�� -,�� ��l C'�,:;���1< < �'��-1 <br /> PROJECT ADDRESS <br /> � i , ,.� .(�Ir� � �q `���'�� %a.� � l �,�ov /lr .��C� ��c!' C2�/' `l.Y� i'S �iCS-i5`i- _ - <br /> Owner J Mail Address /City Slate/Zip Phone <br /> Tenanl Mail Addrass Ciry State/Zip Phone <br /> � t <br /> /_ c��c /_ �<-�,� ��i <br /> EleClriCal ConlraClof �fail Address City Slatc/Zip Phone <br /> Slale License Number Contract Price of Work <br /> Proposed Use o(Building Conlact Person (Plan Review) <br /> Descriplion of Work lo De Oone: <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily ihat I have read and exarnined this application and know the same to be true and �'C1 p �- ����� <br /> comect All provisions o(laws and ordinances goveming fhis typo of work will 6e� mpleted <br /> whefher speclfied herein or noL The granting o/a pecaut does nof resumo fo givz authonty to <br /> violate or cancel fhe Provisions o/any other state crlocal lan reguPting construchon or the <br /> perfomiance oI construcfion. That 1 am authonzed by the onner o/fhis property to perform fhe <br /> work Icr which application is made and 1 comply�vifh fho Stafe Confrocfors Lew f8.27 RCW and <br /> 296,200 WAC. <br /> ' _' j- �= ;� - J `I - c� 7 <br /> � Signalure Date <br />