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ELECTRICAL pERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SFRVICES ���6�6 <br /> 3200 CEDAR STREET, EVEREl?, WA 9820° <br /> 425-257-8810 - FAX 425-257-8857—www.everattwa.org �a6ri-o a7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /�( i✓ 'Lc.�1,u ,7, ,���J �� C� 2 � �� <br /> PROJECT ADDRESS ,3'�-� <br /> s�� �ir � �Y� <br /> 7� C� �r/.��I /�/,S L6 ��Is�rL/J FrU r/�k� <br /> Owner Mail Address Cily Stale2ip Phone <br /> Tenanl Mail Address Cily Slate/Zip (/�fPhone <br /> �l�'���fii��ti .s'rs ��oi �"c�r ,oU ��i �"�'.z �i ``syd14/ <br /> EleC�rical ConlraClor Mail Address Cily Slate/Zip Phone <br /> Fcl'I%�AAI�"� ! yi L.r� <br /> Slale License Number Contracl Price of Work <br /> Pro�o(Building Conlact Person (Plan Review) <br /> Description of Work to Be Done: I� ��, ��✓ICI� �7 I�LI�(�//tl d9.�/ d/�( �FC N (�1��'� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAEiLE. <br /> _�f� <br /> c � <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � 1 hereby�e�tily that 1 have read and exarnined this applicafion and know the same fo be Vue and <br /> corrocL All pruvisions o/laws and ordinances governing this lype ol work wi/l be cornp�efed <br /> �vhether specified herein or not The granting o/a perrmt does not rosume fo give aufhonry to <br /> violafe or cancel the provisions o/any other state or local law reguPting consWction or the <br /> performance o/consfrucfion. That I am authonzed by Ihe o�vner o/this property to perlomi the <br /> �vork lor which applicafion is made and 1 comply wifh the Stafe Contracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �-�/L' " �f�� �� Oli/ �G Il - ;�-� <br /> ' Si�nature Daie �� � <br />