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i <br /> ELECTRICAL. PF_RMIT APPLICATION <br /> CITY OF E�ERL=T'�� PERMIT SERVICES <br /> 3200 CEDAR S��r2E�T, EVERETT, \NA 98201 -�J � Z Z —O�/ <br /> 425-257-8810 - FNC ^25-257-8857—www.everettwa.org C � � �`� � � <br /> APPLICATIONS ARE ACCEPTED FROM 8 F.M TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> ?_�-/' �i;� t<� / -�-i ,�t>i=" <br /> PROJECT hDDRESS <br /> Gf�r: .1) � fl �J :- j% �r'G..'.G �l�/`!%%- <br /> OwOe� Mail Address City State.2ip Phone <br /> �� �.—� ,? <br /> Tenant Mail Address City Slate/Zip Phore <br /> � 7 3'lD- GG� 4Z�E- <br /> /� �' /C- 5 /_'�-/sc- 4 � // /�Q�', -����c6 s�UdffC✓/i<r> >/1- ��'9� <br /> Electrical Conlractor Mail Address City State/Zip Phone <br /> � � <br /> , <br /> /_/c'/� � ;�t �. j�P> <br /> State License Number Contract Price of Work <br /> �' v r"r7.'c c ii'L <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: /'%� �.' e��� J� -�' � l%'�4� Fi' A .0 i ir <br /> - ,��� �� -- �� i� i` '�is�T :Il�4T' <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 /> 1 hereby ceRify fhat!have read and examined this applicafion and know the same to be true and <br /> cerrecl. All provisions of laws and ordinances govermng this type of work will 6e completed <br /> whether specdieo here�n er not. The granting o!a permd does not presume to give authonty to <br /> violate or cance/the provisions clany other state orloc�l law regulating construchon or the <br /> periormance o/canstrucl�on. That 1 am authonzed by fhe owner o/this Groperty to perform the <br /> work lor which application is made and 1 compty with the State Contracto�s Law 18.27 RCW a.ad <br /> 296.200 WAC. <br /> / � ' _ '_ �� �' — %�� .5 �O�f <br /> � Signawre Date <br /> —�� �— / / � <br /> :� j,i <br />