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i ; <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 r z s-o6 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org �yd 6�Z-�23 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROJECT ADDRESS <br /> I �as��=a� 7 <br /> �1.��1� � � �l( �� � �G��l<t�l5eil -���� �7T'G�nGf- �uPr��i 1.�� I�o�� <br /> Owner � Mail Address City StateZp Phone <br /> Tenant Mail Address City State2ip Phone <br /> Electrical Contraclor Mail Address City State2lp Phone <br /> Slate License Number Contract Price oF Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: <br /> IJOTE: 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 <br /> 1 here6y certily thaf I have read and examined this applicafion and know the same fo be frue and <br /> co�rect. All proviaions ol laws and ordinances goveming this type ol work will be completed <br /> whefher speci�ed herein or nol. The granting of e portn�f does nof presume fo give authority to <br /> violate or cancel the provisions oI any other state or local law regulating construction or the <br /> per/ormance o/construclion. That 1 am authonzed by the owner ol th�s property to pedorm the <br /> wak lor which application is made and 1 comply with the;Yafe Contrec/ors La.v 18.27 RCW and <br /> 296.200 WAC. <br /> �! i ��' � i i. J_iy'\ <br /> Signa ure � Date . <br /> ✓ <br /> E-o�(��D� 3 <br />