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ELECTRIGAL PERMIT APPLICATION <br />CETY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />� a--a b �v <br />����z�� <br />APPLICATIONS ARE ACCEPTED F i:OM 8 AM TO 4 PM - DFBIT & CREDIT CARDS ARE NOT ACCEPTED <br />I3�1 ������'r�,.�.-�. <br />PROJECT ADDRESS <br />' � � � -/[ /.�J % /1�4�/ f �. LL�/� �Jj6" 7 '/1S <br />/%.CL{' o�f-c f Lf2/r 4 ✓-4.+1/ J-LS.Z %/�U <br />Owner Mail Address City State/Zip Phone <br />f�S �� ll 7�s � s � ��-� ,��= w� � Fr�,�� �ss ��Y� <br />Electrical Contraclor Mail Fddress City State2ip Phone <br />1% J� �_� ,(r.� C7.2 Z L.� �� — <br />State License Number <br />Proposed Use of Building <br />WIRING IN NO�I-DWEL�INGS IS REDUIRED TO <br />BE IN RACE'NAYS, MC OR AC CABLE. <br />I hereby cen� ;� �� s! % have read and examined this application and kno:v !he same to be true and <br />coirect. All provisior,s of laws and ordinances goveming this type of work will be campleted <br />whether specdied herein or not The granting oI a pe�md does not �resume to give authonty to <br />vielate or cance/ the provisions of any other state cr iec�l la�v regulatir.g construcficn or thu <br />peAormance o/ consrruchon. That 1 am aufhorized b�� the owner of this property fo per(orm the <br />work for �vhirh app6cation is made and I comply wi[r.� ;he State Contractors Law 78.27 RCbI' and <br />296.200 WAC. <br />FEE <br />�i /'7 . �� � <br />/ L- <br />