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� �, <br /> ;.�.- _ � <br /> I <br /> ELECTRICAL PERMiT APPL�CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 --www.everettwa.org � �--ao-o�f <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT &CREDIT CARDS ARE NOT ACCEPTED <br /> ia2l�. � oi� 1��, .,l� -�-� y, <br /> PROJECT ADDRESS � <br /> /� � <br /> Ct,�r ��cy ��l�S f�J�J� Gt-e�z-�-� (�J�'1' �� �lz�� �s7n '16�1 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Adtlress Cily State/Zip Phone <br /> U C w.r�A F4� ��iC�tr �f�ii7 /i4 `'11 1'J' /"N•rYr C - ��' L✓/' %��7 r `�2-$� 3�1��'-3 �- <br /> Electrical Conhacto� Mail Address City State2ip Phone <br /> fn £�> � Z <br /> State License Num er Contr ct Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> i -V�i <br /> �escription o(Work to Be Done: <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO I FEE <br /> BE IN RACEWAYS, MC OP.AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I her�by certi(y that 1 have read and examined this application and know the same to be true and <br /> conect. All p�ovisions o(laws and ordinances goveming(his type o/work�vill be cempleted <br /> whether epecr6ed herein or noL The granting ol a permd does not presume to give authonty to <br /> viol�3te or cancel the pro sions ol any other sfate or local law regulafing construction or the <br /> pero�mance c(constr 6on. hat 1 am authorized by the owner o!this property fo pedorm fhe <br /> work fc�which appl' tion � made and I comply with the State Contracrors Law 18.27 RCW and <br /> 296.2G0 WAC. �, �, <br /> i�� � ���� i <br /> G <br /> � i ure Oate <br /> � � O �l�q --`�� <br /> ., , z;�'; ;� -, <br /> r� <br />