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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 - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> 2�'1i2 �DIM BA-f'D S i <br /> PROJECT ADDRESS <br /> �r,4-c� �'v�-E`� 7 r 3 2 Co t�,13A-r-� s� �,L�i�.��f'f- �,F'� asao� 2�r 3m— � <br /> Owner Mad Address <br /> City State/Zip Phone y <br /> SG>od <br /> Tenan� MailAtldress City Stab/Zip Phone <br /> �,rrvne� �Z�c;�i� 70o y k1o�-,a,�< NC ��'nvuo,�� (�rf- q.�'a 5 Z Y�t' s��2��j <br /> EIeC�nCalContraCtor MailAddress City SlateRip Phone <br /> _(,r �+ro e�T 476(r-< y, �fS U °�' <br /> State License Number CoNract Price of Work <br /> Proposed Use of Bwldmg Contact Person (Plan Review) <br /> DescnptionofWorktoBeDone: �/G G�/2GG//7— /4/P=- rr�-/'VjjL�� C�/4[ Ul� <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 /> I here6y ceRi/y that I have read and examined this applicafion and know the same to be true and <br /> conecL All provisions of laws and ordinances governing Ihis type o!work will be completed <br /> whetherspeci6ed herein orr.�L The granting o!a permd does nof presume to give authonty to <br /> violate or cance/the provisions o/any other stafe or local law regulating construc(ion o�the <br /> wortr�%r wh ch epplica it Ohols�maha@@t and I comply wilh the Slate Contia/closPLaw 18 27�RCW and <br /> 296.200 WAC. /��� <br /> � <br /> �/ /u s— <br /> Signa re ale <br /> ��yro� o�� <br />