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. <br /> ELECTRICAL PERMIT 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 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ' -��� ; zff �v�e <br /> PRUJE(:T ADDRESS <br /> ?vG�� <br /> o -�>4 Z— <br /> �,v�v� ,o�otMl,c�� 3Soy `��� Or tJE ,N�trHs�i�lc IN/� 9Y27o �y _ <br /> (htine� Mail Adtlress City .,la.e2ip Phnnc <br /> Tenanl Mail�ddmss City State/Zip Phonc <br /> � — <br /> Electrical Conlractor 1.1ai1 Address Cily Slale2ip Phone <br /> SI2te License Num6er Contracl Price of Work <br /> [;� ��/�l� ��0�9M�tt,fn0. <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of�Vork to Be Dono: �� �� t���� �""_ �'��F <br /> NOi E: bVIRING 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 /> 1 hereby certily thaf 1 have read and examined lhis application and know fhe same fo be lrue and �� ( ��.�- I�-(y <br /> correcl. All provis�ons oll.,ws and ordinances governing fhis type ol work will be completed <br /> whether specified herein or noG The grantin�o/a pennd does nof presume to give aulhonty to <br /> vioiate or cancel the prnvisions oI any other stafe or lucal law regidaling consfruc6on or fhe <br /> perlormance o!construction. That 1 am avUiorized by the owner o/this prop�rty to perform fhe <br /> work Ior�vhich applicalion is made and 1 compty with fhe State ConVactors Law 18.27 RCW and <br /> 29G.200 WAC. <br /> :, .. /� � /�_ . ��7 8�i� <br /> �,,���_�_ <br /> — Si9nalure Dale <br /> � <br />