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� :. <br /> ELECT�ICAL 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 /> Z�// l-UL'n�-�T /}vE <br /> PROJECT ADDRESS <br /> o/fr/ lo:���.�� 'L`1// G-'L�-r�rTf fh..c tt�e7,.�-'�T �''F� `�J�",=c�/ <br /> Owner Mail Address Ciry State/Zip 7� Y y���,S Y z <br /> Tenan� Mail Address City Statc/Zip Phonc <br /> G�n,ncn- E7.�z;�-ie sv� 70oy�d'o� A..�.r �✓� /�erGu���-,� G:,i� � S�S^7�:5'9 <br /> Electrical Conlractor Mail Address Cily SIa1e/Zip Phone <br /> (,i•vCeC +` KZ G� IM Pi `�f �'/G�• "` <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> Descriplion of Work to Be Done: ��, /J�6'✓ t�����W-�G <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 /> 1 hereGy certi/y thaf I have raad and examined fhis application and know the same to be true and <br /> correct. All provisions o/laws and ordinances�overnmg fhis type oI work will be completed <br /> whefher specilied herein or noL The granting o/a pemut does not resume fo give authority to <br /> violate or cancel fhe provisions ol any ofher sfate o�local law reguPfin�consWcfion or fhe <br /> perfonnance ol construction. Thaf I am authonzed by the avner ol lhis property to pedorm the <br /> work/or which application is made and 1 comply with(he Stale Confrectors Law 78.27 RCW and <br /> 296.200 WAC. <br /> /��� �� �� � 7 �� <br /> —i�naWre Dal � <br /> � 2�2 <br /> L- � <br />