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� � <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES i �_ n � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 6 � <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �a� 0 6 ,Oq3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> .� I� l�e�t�l C✓ ��--v �Gl �LP✓�� !''i �'?�� <br /> i <br /> PROJECT ADDRESS '-j„2) "��� y 3'T <br /> �G�� �' lNu'1 I-tLr� ��� I��"W� �t�rnc( �vr✓�/ �✓� cf [��D� <br /> Owner Mail Address City State2ip Phone <br /> �- — . — — <br /> Tenanl Mail Address Cily State/Zip Phone <br /> Electrical Conlraclor Mail Address Cily State2ip Phone <br /> � �Wt <br /> State License Number ConVact Price of Work <br /> �s, ��,�!� i��l� r��l�,�� <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> Descriplion o(Work W�e Done: ��'��h�'i'''� r�� �~"`�\ <br /> NOTE: WIRING IN NO(J-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi(y that 1 have read nnd examined fhis application and know fhe same to be true and <br /> correcL All piovisions o�la�vs and orAinances goveming this type ol work will be completed <br /> whefher spealied herein or not The grantin�of a pernut does nof presurne fo give aathonty fo <br /> violafe or cancel the provisions olmry ofhersfafe orlocallaw rec�u/afing construction or the <br /> peAormance o(construction. Thot 1 am authonzed by the owner of fhis�ropedy to perfom�fhe <br /> woik lor which applicafion is made and 1 comply with fhe State Confracfors Laiv 18.27 RCW and <br /> 296.2001NAC. _., <br /> � � <br /> � ,- - � i�/��_ <br /> �—'Signalure �e <br /> ��v � 3 <br />