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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EWERETT PERMIT S�RVICES �`�o _� <br /> 3200 CEDAR STREET, EVER[TT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857 -www.everei!wa.org (�=d7�01 --06� <br /> ' APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> � �' /� I '1 <br /> � ( ( _� �� �� l� �r !' ��C <br /> PROJFCT ADDRESS I <br /> �• � <br /> � � � -' L �t,c-�� <br /> O�vner Mail Address Cily State/Zip Phone <br /> Tenanl Mail Address Cit, SlatelZip Phone <br /> ���� <br /> /7l>?cC ?a� �(FC �,��� lvC/I ^S( �t' LLL`z2PlT �S'-�`}-/C`-�X�X� 3�9' �330 <br /> Electrical Contractor Mail Address Ciry State/Zip Phone <br /> ���� c� •=E�� <br /> ° ���r`� <br /> State License Number Contrect Price of Work <br /> Proposed U�o(Building Contacl Person (Pian Review) <br /> Descripfion of Work to Be Done: �J�z� �UC�J "c�f`� et.� ,,�,dG� J�Fz.u�G�: <br />� - <br /> NOTE: WIRING IN IJOIJ-DWELLINGS IS REQUIRED TO FEE <br /> i BE IN RACEWAYS, MC OR AC CABLE. <br /> i <br /> I CITY OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br /> 1 horeby cerfiiy thaf I have read and exa.rnined this applicafion and kno�v fhe same to be true and <br /> correct. All provisiorts of/aws and ordinances goveming this lype o/�rork �vill be complefed <br /> whcther specilied herein �r noL The granfing o(a pernut does not �esume to give aufhonty fo <br /> violate or cancel the prov�sions clany oth.er sfate orlocal law reguPatiny construcfion or the <br /> perlonnance o/consf�uc6or.. That I ant aufhorized by fhe owner o(fhis property to peAorm fhe <br /> woik(or�a�hich applicafion is made and I comply wilh fhc Sfate Confracfors Law 1827 RCW and <br /> 29&200 WAC. <br /> `��� . 1��� � 6���9 c�C l�(,'u�. <br /> , sigi,aiurc uate <br />