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ELECTRICAL PERMIT ARPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—v✓ww.everetbva.ory <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � �3 �( �- I'�G�h i � L�_n,V'��i �� <br /> PROJECT ADR?�SS <br /> i <br /> ;�� ,. /. � <br /> Ownet Mail Adtlress City Sta�clZip Phoue <br /> Tenanl hlail Address City State2ip Phone <br /> 3(� <br /> � rS C�e�'��,� �c �,� /'/lZ G�J�vt�,�// G�9 9�'zIa �59- /3�.1 <br /> Glec�rical Coniraclor Mail Hddress City S:ata/Zip Phone <br /> �1�5� C-C � �t e� ��� � � �3oe�� <br /> Slale License Number Contract Prico ot Work <br /> Proposed Use of�uilding Contact Person (Plan Revicw) <br /> Descriplien o(Work to��Done: C-�%�c�'1'����"��'cS/ ,��_/�'✓7�t- <br /> �..� <br /> NOTE: WIRING IN NUN-DWELLINr,S IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC Ot�AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � !hereby certily fhat I ba��e read and exanuned Ihis appfication and knmv the same to be true and <br /> '�I i cormcL All prowsion;olla�vs and ordinances governing this type o(�xork will Ge con:plefed <br /> �rhefher spr^i6ed l�erein or not The granfing o(a pernuf does notl�resumo to give authonty to <br /> ��iolale or cancel the provisions ol any other sfafe or loca(la�v regu ahng consWcfion or fhe <br /> i peA.�rmance o/construction. Thal(am authorized b}�the on-ner ol Ihis property fo per(onn fho <br /> '.i worklor�vhich applicntion is made and 1 compty u�itb the Sfafe Contractors La�v 18.27 RCW and �_ —� � <br /> z96.2oo wAC. / /�":,�— L;.� <br /> /�! � > -r�•� �' � � <br /> Sipnature ^3le <br /> .... .. . �:::r�. � : . <br />