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� . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � ,>.(,—oS <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �05�� ,,,�a� <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT&CREDR CARDS ARE NOT ACCEPTED <br /> �5 �l%w,7/ A✓i <br /> PROJECT ADDRESS <br /> :5�- /���✓� �Nv�5rti1�'+' Ll��-�uwcw� Ii1�A. 9�,036 -SIZS 69�- �1�8$ <br /> Owner Mail�Wdress Clry State/�p Phone <br /> Tenant Mail Atldress Clry StateZp �+o�a <br /> �WNi,� 'f�U[�!)�L Sii..�c i4C /1$''✓�- <br /> ElectricalContractor� MaiiAddress Clry State/Zip Phone <br /> _�, �l <br /> State License Number Contract Price of Work <br /> L�6Ne�rc,�/ C' �1215 ��eL� <br /> �i1�f( ''�5 r�/Z�G STD , _ <br /> Proposed Us� Contact Person (Plan Review) <br /> Description o'Work to Be Done: — L�GT2��,,A L �2UL� /m'�f"'`J� S'cT <br /> � <br /> NOTE: WIRING IN NON-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 here6y certily that 1 have read and exemined this application and know fhe same fo be true and <br /> correcf. All provisions ollaws and ordinances goveming this type o/work will be completed <br /> whether speci�ed herein or not. The grenting o/a permit does not presume to give authonty to <br /> violate or cancel the provisions o/any other state or local lew regulating construction or the <br /> performance o/construchon. That 1 am authonzed,by the owner of this property to peAorm the <br /> work/or which application is ma�and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ,� - -•� // 2GjGS� <br /> siqnamre � �ate ' �d5 o I ' �z � <br />