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; <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> I�����'� ��-lf�� UG' �c�c' <br /> PROJECT ADDRESS <br /> , <br /> �� 7- r G - i� �` S� � /cK��� ��,-� . �/�l�c,c L / c'.�z t' LC�,4'.� ]�,U � 'f�>>>`l c�773 <br /> Owne� � ' Mail Address City State2ip Phone <br /> Tenan� Mail Address City Stale/Zip Phone <br /> Eleclrical Contraclor Mail Address City State/Zip Phone <br /> Slate License Number Conlracl Price of Work <br /> '�C '/G <br /> Proposed Use of Building Conlact Person (P�an Review) <br /> DescriplianotWorktoBeDone: l��v��U� ��.•:- ,C�Y�< -� 4f'c�.cY� � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIR[D TO FEE <br /> B6 IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> cor ct Allrprovisions of la es and o dinances�overn�i�fhis typ�ol wo k u�ill be con�leted and ���C�..-Cci 1 <br /> whether spea/ied herein o� noL The granling o(a perrnd does not F�resume to give authonty to <br /> violate or cancel lhe provisiuns o/any.ofher slate or local law regidating construchon or fhe <br /> peAonnance n/construc(ron. That I am authonzed by tlie owner o(fhis property A perfonn the <br /> work for which applicafion is made and 1 comply wifh Ihe Sfate Confracfors Law id.27 RCW ar,d <br /> 296.200 WAC. <br /> - �;�_.���. ' ,, � < <� G ��;-� � c�<<, <br /> �, ' SiqnaWr� - - , Date <br /> , . (_,'.. . _. <br />