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� , <br /> ELECTRICAL PERMIT APPL�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32C0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM E AM TO 4 PM - DE617& CREDIT CARDS ARE NOT ACCEPTED <br /> I� � � L�M ��,� 5�-- <br /> PRQJECTAGDRSSS /_�77� /G � <br /> t (o <br /> ��vJ �v� �y� 7 -- � iy � /�l Sw. ����>S ��v <br /> Owner ail Addiess City State2ip Phone <br /> �/��GwwT <br /> Tenant Mail Address City State2ip Phone <br /> �';'2�-��v EGc�'ai2�c PG � �3ox �/6S �vv�c���s Z�6 -5�i2-a �a <br /> Electrical ContraCtor Mail Address City State/Zip Phone <br /> n`i(� A nn � i v �7� 6z uJ <br /> State License Number Conlract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: ��v'��n(� � v i � � � ���� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIP,ED TC� FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily that 1 have read and examined this application and know the sama to be frue and <br /> correr,t. All provisrons of laws and ordinances goveminq th�s type ol work will 6e completed <br /> whether speci6ed herein or not The grantiny o(a permd does not resume to give authonty to <br /> violate or cancel the provisions of any other state cr local law regu ating construction or tbe <br /> pedormance of consVuction. That 1 a ,n au'hodzed by the owner o(fh�s property to pedorm the <br /> work tor which application is mada and l comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ��y�/lC �r6'� Cf-2(J 'UT <br /> $ignature Date <br /> � �(�' � �') � � <br />