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ELECTRICAL PERMIT APPLICATIt�N <br /> CITY OF E\�ERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ���_ 3� _D� <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org i <br /> C ��iZ�i�3 � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �'�i l � (�r11 I��(� ' � <br /> PROJECT ADDRESS <br /> �i 'c�. �t�� le� � -�� as ��-��-� � �e s� �-�6�,,�� ,� <br /> Owner Mail Addrn_ss City SWte/Zip Phone <br /> �cC.� �(c�i'� 2`�-� <br /> Tenanl Mail Address City State/Zip Phone <br /> Elecl�ical Conlraclor A1ail Address Ciry Stafe/Zip Phone <br /> Slate License Numher Conlracl Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �IS�,S,J^� / � �%��. — <br /> NOTE: WIRING IN NOIJ-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br /> I he�eby certily that I have read and examined this aoplicafion and know fhe same fo be t�ue and FU�1?.-�li'�.l <br /> correcL All provisions ollaws and ordinances�ovemmg Ihis type ol work will be completed <br /> whefher spea(ed herein or nof. The gran(ing o(a permd does not resume to give aufhority to <br /> vio/ate or cancel the provisions o/any ofhar state or local law reguPfing construchon or fhe <br /> pedomiance oI censfruction. Thaf I am authorized 6y fhe owner of fl�is�roperfy to perform the <br /> work/or�vhich applicafion is made and I compty wifh the Sfate Confraclors Law 18.27 RCW and <br /> 296.200 WAC. <br /> '�'� � — � � -- <br /> '— Sic� Wre � � Dale <br />