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r. — <br /> ELECTRICA� PERMiT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ��--)�{ ��/ <br /> 425-257-8810 - FAX 425-257-8857—www.everetiwa.org <br /> �11 I I --O °t( <br /> APPLICATIONS pRE ACCEPTED FROM 8 AM TO 4 PM <br /> ��l y 1�'�7-" �hJE <br /> PROJECT ADDRESS <br /> �,q� ��.►F�r� �o�y ��r�r--�us ,�.e�Ea�-r w� �2r-s��-�r�� <br /> Owner Mail Address City State2ip Phone <br /> Tenant Mail Address Cily Slate/Zip Phono <br /> �-�n6�' 6�c'r��L �z rS7�S�Nw S�r9rv�oa� (nC� �'Z 9 Z. <br /> ElectricalContraclor Ma1lAddress City Slaterzip Phone <br /> ��G� � z�s6 �3 p� �-od <br /> State License Number Contrect Price of Work <br /> ��.5 i�EL./l� _ <br /> Proposed Use of Buiiding Contecl Person (Plan Review) <br /> Description of Work to Be Done: ��ICF C�ri�GE �/ ������ <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 liereby certily Ihaf 1 have read and examined fhis opplicafion and know the samo to be frue and �1 I I' 'v°� I <br /> correcf. All provisions ollaws and ordinances goveming this type ol work will be comp/efed <br /> whether specified h?rein or noL The granting o/a permd does not presume to give authonty to <br /> violate or cancel the provisions of any other state or local lew regulsting constnrction or fhe <br /> performance o/construcfion. That 1 am authorized by fhe owner of this property to perfonn fhe <br /> work 7or whic application(s made and 1 compty with fhe State Contractors Law 18.27 RCW and <br /> 296.Z00 WA <br /> • � � <br /> a u e Dale <br />