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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES oq <br /> 3200 CEDAR STREET, EVERETT, WA 98201 /a -I�f- <br /> 425-257-8810 - FAX425-257-8857-www.everettwa.org G a5�z --os� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ����� �� ���� <br /> PROJECT ADDRESS <br /> �,����,���OA,� <br /> Owner Mail Address City Slate/Zip Phone <br /> Tenanl Mail Address Cily State/Zip Phone <br /> �,/�-��:' r L�/� /'''7v N/��� �n //1 .�l•u-7�, �i/5� <br /> � -�-.-T- <br /> tleclrical C raclor Mail Address Cily State2ip Phone <br /> �� 7 � �v <br /> ( � �' O�LJ �I'f /SOU ./ <br /> Stat L�umber Gonlract Price o(Work <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> /� <br /> n /7 "�'� <br /> Description o(Work lo�e Uone: 1�� - � �vU�/L J .�J�/�i'� ti'J <br /> _ irA�� ,��iw/U7 �.Zi�� f�. <br /> NOTE: WIRING IN NON-DW[LLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � /� <br /> 1 hereby certily that!have read nnd exarnined Ihis application and know the same to be frue and �"(I p� '�5� <br /> correcL All provisions o(laws ond ordinances 9ovemmg fhis fypo ol work will be completed <br /> whefher speciGed herein or naL The grenting o!a pernut does nof presume fo give aufhonty fo <br /> viola(e or cancel fhe provisions olany ofhor stale or local laiv regulafing construclion or fhe <br /> perfonnanco ol conslruction. Thaf 1 am au(horized Gy the owner o/th�s roperty to perfomi Ihe <br /> work lor which application is made and 1 comply�vifh tho Sfate ConfracPrs Law f 0.27 RCW and <br /> 296.200 WAC. <br /> , �fJ� � � <br /> �� �,Gg�%�CL/� �� � ��� � <br /> `5 gnat� Date � <br />