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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S'TREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> lS��r ���I� /� �i <br /> PROJECT ADDRESS <br /> .-� ;� S �G , <br /> Owner Mail Address Cily State2ip Pnone <br /> ��e������� I� 5 � Y �IL�� I- � � Evf,��t-�- w�- y y z�; , �/z� � � <br /> C 1G ✓1{� I ICwilT �t` s���%��` <br /> Tenanl Mail Address City StatelZip Pho,ie <br /> Elecirical Conhador Mail Address City State2ip Phone <br /> Slata I iranen Numhnr Cont�OCt PricC Of WOrk <br /> Proposed Use of Building Contact Person (Plan Revi�.w) <br /> Descrip�iono(WorktoBeDone: [.(�JIC'1��� Ci �'.o_ F1���"^" C�e"i��7f �•„�g , � Gc�'<<'1S <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITf OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi(y thaf 1 have read and examined this application and know fhe same to be true and <br /> correcL All provisions ol laws and ordinances governmg fhis type o/work will 6e completed <br /> whefher spec�6eA herein or noL The grarting ol a permd does nof resume to give aufhority to <br /> violate or cancel Ihe provisions oI any other state or local law reguPting construction or the <br /> pedormance of const�uction. That 1 am aufhorized by fhe owner o!fhis property to peAomi fhe <br /> work lor which applicafion is made and 1 comply with the State Conlracfors Law 18.27 RCW and <br /> 29G.200 WAC. , , <br /> / 4 <br /> .LL'-1,�. ����� ���I� ��". ��J��✓� <br /> SignaWre Date <br /> E r5c�a- c��i `-� <br />