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ELECTRICAL P�RMIT APPLiCA�ION <br /> ClTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> •1�. <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ' � <br /> , r..0 <br /> � / �J <br /> ��� '.� �•�: ��� ' � �� <br /> , , �.-• �,�";% � <br /> PROJECT ADDRESS <br /> Gi� <br /> � _ _ � I-�-T-- -, , <br /> � • •�' /�/r, r� ,:�/;-;:i,fc r.vr:::�!L:, , rd'z J � <br /> OWnef Mail Address Ciry Slale2ip Phone <br /> Tenanl �dail Address City S:ate/Zip Phone <br /> �. �i . _ . l ! �_. . , '_�-(�' �_�.lr. �s�S�.�)— �00 � <br /> , �,s_� � ��:�r?,�� �l'. �r/tiiz;�tli- ���-- 9.7z�� <br /> Eleclrical Conlreclor Mail Address City State2ip Phone <br /> f DC <br /> :'� '��� � , � /r.��(� /��O <br /> Slate License Nwnber Conlract Price o(Work <br /> �/ c J/� <br /> � � � � /_ LG�I�UU-v G �✓t:-�"��V \ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> � <br /> � <br /> Description of Work lo Be Done: �`� / � '- ���� '�-� `� W� y1-- <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO FtE <br /> DE IN RACEWAYS, MC OR AC CABLE. <br /> i <br /> CITY OF EVERC-TT LOCAL SALES TAX CODE IS 3105 <br /> I heroby certily ff�af 1 have read and excmined Ihis application and kno�v fhe sarne to be true and <br /> conect. �711 previsions ollaws and ordinances governmg this lype oI work will be completed <br />� whether specified herein or noL The granting o/a permi(does nof presume to give aufhorit}�to <br /> violafe or cancel the provisions oI any other stafe or local la�v regulating consfrucGon or fhe <br /> peAormmice o(consfruction. That 1 arn aulhonzed by the o�vner o(fhis property to perlorm the <br /> I work Ior whir.h application is made and I comply with the State Contractors Law 78.27 RC W and <br /> 296.200 WAC. <br /> i--- <br /> � . . . 1. . � - �•-��� �-.-� C--� <br /> � <br /> — — Signa�ure Date <br />