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_� ?��.�- 8�3a <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 2_ a 3 .-06 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857–www.everettwa.org � O(02—/3 j <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �7210 �avv��r� �2� �✓e.�t'�- V`�11 <br /> PROJECT ADDRESS <br /> -Do,,,y cti',��� ��I ► � �''� �� r�'- fk��,,,.�., ��✓-� �Ia�z3 (�� 23s-���7 <br /> Owner Mail Address City State/Zip Phone <br /> �7�1 V �'l <br /> Tenanl Mail Address City State/Zip Phone <br /> Eleclrical Conlractor Mail Address Cily State/Zip Phone <br /> ��-R� <br /> Etate License Number Contracl Price of Work <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> Uescription ef Work�o Be Done: 1�121^� `"�`r'�� �hf�c^y�,o�C' SF`� V`a^%�-1 `�`'\• elec'i, <br /> � i I µ 1 <br /> I ;n��l a��5� cltc-f vwv.� ` � e. s \�Wl't � „J n�vlQl -� <br /> � ���,.s.�.,�- <br /> �-��, <br /> I <br /> � <br /> NOTE: WIRING IN NON-DW[LLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> c;ITY OF EVERETT LOCAL SALES TAX CODE IS 3?OS <br /> nereby certily fhat 1 have read acd exarnined this applica(ion and know the same to be true and "EOIt;U�I ' \�3 <br /> � �nrecL All provisions o!la�vs and ordinances governmg this type ol work�vill be completed <br /> � �,�,l�cther specdic-d herein or noL The granting ol a pernut does not resume fo yive aufhority to <br /> ��o;ale or cancel tha provisions o/�ny other s(ate or local l��w regu afing consfrucfion or fhe <br /> . �.�rlomiance ol consfruc6on. That I am authorized by fhe owner ol fhis property W peiferm fhe <br /> j ih lor�vhich application is made and I cemply wilh the S(ate Confracfors Lan iQ.27 RCW and <br /> ; ��G.200 WAC. <br /> I <br /> � <br /> Si�naWrc Date <br />