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�LECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 7� �-��/z <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org �� ��,-!)69 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />"�. �71 o :i �v..,v� ' �v '� r'� ✓-e, <br /> PROJEC'f ADDRESS <br /> Ct�w I� S � � �,- S 0. <br /> Owner hlail Address City SlatelZip Phone <br /> Tenanl Mail Address Clly Slate/Zip Phono <br /> /tl a �� �=��cc�+� r=1ec� 9s3� 3is� �'L 5E �,�e.ve� t,l�f� 9d'u�S' yis-337_3rx�- <br /> Elec rical Conlractor Mail Address Ciry State2ip Phone <br /> .��Pf��v�9�z,�c� �`sc�c7°'n <br /> Stale License Number Conlract Price of Work <br /> �.��dz�.�P __ N��-�,� ``�",.�-Nai <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Descnplion of VJork to Bo Dono: �i1 S 1�.�-� 1'''� e�'d iP l ka `�H r a�`6 �c - <br /> NOTE: WIRING IN NON-DWF.LLINGS IS REQUII tED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �O� <br /> ' CITY OF EVERETT LOCAL SALES TAX C.ODE IS 3105 ''] <br /> 1 hereby certi/y that I have read and examined fhis applicafion and know fhe same fo be trua end �I 2,��' — O�"1 <br /> r.n�:�cL All provisiuns o(laws and ordinancos goveming fhis type ol work wi/l be c�mpleted � <br /> �vhefher specified herein or nuL The granting of a permrt dces not uresume ro give authonty fo <br /> violate or cancel the provisions of a�iy other sfafe or loc�l law regulating consfrucfion or the <br /> pedomiance oI construcfion. Thaf 1 am aulhonzed by the owner o(Ihis�roperty to per�'omi the <br /> io�k lor which application is mado and 1 comply wifh fhe Stafe Contractors Law 18.27 RCW and <br /> 29E.200 WAC. <br /> �i��h�hr��vL�re�t�- ��7 �c�.... <br /> Slgna� Dale <br /> L _ <br /> � <br />