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I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERJICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �� _� Z..-D� <br /> 425-257-8810 - FAX 425-257-8857-www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> c�'v�o9..i77 <br /> �?�J� �-1� .�;� ��e <br /> PROJECT ADDRESS <br /> l���A,,.��c�c���5 ��ly��il- `�.�eae.-�—��� <br /> Owner V Mail Address City State/Zip Pha�e <br /> l <br /> Tonant Mail Address City Slate2ip Phone <br /> �* <br /> � l � <br /> Electrical Contractor Mail Address Ciry StatelZfP Phone <br /> �3� � <br /> Slate License Number Contrad Price o Work <br /> �ors�e� w�c+.,,.���G��l�cy�`�ll <br /> .. <br /> Proposed Use of Building Cantact Person (Plan Revfew) <br /> Description of Work to Be Done: 1 �S ���� <br /> �� �� �t�.u� ��c �v�e- i <br /> ; <br /> � <br /> — �� <br /> ! <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E � <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 �/.��i ( <br /> 1 hereby certily ff�at 1 have read and examined this application and know the same to be true end L""— ' � 1�� <br /> conect. Aq prov�sions o/laws and ordinances govemmg thfs type o/work will be completed <br /> whefher speci(ed hrrein or not. The granting o/a permit does not presume to give authatty to <br /> violafe or cancel the provisions ol any other state orlxal law regulefing consfrucfion or the <br /> peAormance ol construction. Thaf 1 am authorized by fhe owner o/fhis property to peAorm fhe <br /> work Ior which applicationla made and 1 comply with fhe State Contrectors Law f 8.27 RCW and <br /> 296.200 WAC. . ,� <br /> � � -��i�-- ' ��:3r�1� I <br /> � Signature a�e � � <br /> � <br />