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'7FV1�.i . LI. �.''J J.J <br />• <br />1i. np: r. � <br />�o. Iu�J . J <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />A25-257-8810 - FAX425-257-8857—wv+w.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />q 21 c�..-�1'Gt.t�d l�f• �/ ��?-.0 � <br />PROJECT ADI7RESS <br />Ovrner <br />Tanant <br />Eloclri:al Cc�tracror <br />tdail AdAicss <br />ldail Adtlress <br />t.lall Adtlress <br />C�'►��I�Ar-i Wqoi (�G <br />Sl�te Licensa Number <br />Proposed Use ot 9uilding <br />Gry <br />ciry <br />City <br />H�5 D�� / <br />Slele2�p Phone <br />S�ale2lp Phone <br />Sta�c2lp Phone <br />2� t�, � <br />Contracl Prico of Work <br />Conlact Porson (Plan Roviow) <br />i <br />Descriplion of Work to 9e Done� ��Q� Q� f r� �� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />���.���� <br />. � <br />CITY OF EVERET7 LOCAL SAL[S TA%CODG IS 5105 <br />1 hcroby certily Ihat ! havo roaU anA examined fhis ap/�licalion ond know fho semo to Da true end <br />correcl AUpm�•;sions o/la�vs ond ordinancos govornmg fhis typo 01 work wiubo eompfoiad � <br />�vhefhe� spoCified hare�n of not. 7he 9nnfing of a pomuf doos nof p�osumo to give aufhont}• to �� � j(. �'J � � �� I <br />c�olato or cancol lho provisions of e 7y o;her stnto or lo: al la�v reBulating conslrucfion or fhe <br />�odormanco ol consnucfion. Tnat arn ndthonzoU 6y fNo otcncr of thrs propedy to pador.» fh0 <br />��: ork for wh7ch appOcaflon rs mado 3nd I comply wifh !he Sfato Conhactors Law 18.27 RCW and <br />?9D 200 WAC. <br />