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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREl-f, b'VA 98201 ^ <br /> 425-257-8810 - FAX425-257-8857 —www.everetlwa.org � � �G��7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �T���. � � �-/�'1 �S � . <br /> PROJECT ADDRESS ��'-3 S?—��' '� <br /> ��:'/�^� G��T�-1���;� 3 �'l ��oonz�.� �i�. C/�ih.A�� /S ��.� g� <br /> Owner Mail Address City ' Slale/Zip Phone <br /> Tenant A1ail Address Ciry Stale/Zip Phonc <br /> �'�`�./✓ �7/ ( � <br /> Elecirical Conlraclor Atail Address City Slale�Zip Phone <br /> oC �'CJ_ �ro <br /> State License Number Contracl Price of Worl; <br /> �� � � � <br /> Proposed Use of Building Conlacl Ferson (Plan Review) <br /> Description o(Work lo Be Done: ��/ L 'C� /-�- 5 �-�- /c < 7 <br /> �` //l'�� i,l? < � - <br /> � NOTE: WIRING IN NON-DWEILINGS IS REQUIRED TO �EE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �/ ,� <br /> 1 hereby ce�tily that 1 have read and examir,ed fhis applicafion and kno�r the same to be f�ue and � �Ll�,_ '(�� <br /> correcL All provisions ollan�s and ordinances govennng fhis type of work�rill be comp/eted ' <br /> �vhefher speci(ed herein or not The granting of a pertnd does nof resume fo give aufhont}�to <br /> violate or cance/fhe provisions of any ofherslate orlocal la�v rec�uPting construction or(he <br /> perfomiance o/consfruction. Thaf 1 am nuthonzed by the o�vnar o/this property to pedorm the <br /> �vod<lor which application is mode and 1 compty ni(h fhe State Confractors Law 18.27 RCIN and <br /> 296.200 WAC. ,I�- ' <br /> i <br /> .-� � ti���/' J / �_- ��j - �J� - <br /> ''���Si�nat� � Dale <br />