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r <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 /p-3/`-�� <br /> 425-257-8810 - FAX 425-257-8857—www.everethva.org <br /> C�lllO-� � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /8/y �'i�uG �T <br /> PROJECT ADDRESS <br /> �°/fRiS # Mr'� C�a-1V SEMorc� /13/5l P�N� S� C� wR 98 �/ <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City Slale/Zip Phone <br /> �Gl4I i FLr'Gl Rl (. C 0 /N (. <br /> Eleclrical Contractor Mail Address Cily State/Zip Phone <br /> �-f�G r�vr— r.00 3 N � <br /> Slale License Numbcr Contract Price of Work <br /> _SF� <br /> Propoacd U�e of Building Conlact Persan (Plan Revlew) <br /> Description of Work to Be Done: �'F W��t'� f' f(S� r /N(v S FR. ( / S � �� <br /> NOTE: WIRING IN NON-DWELLINGS IS RGQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> �5 ' <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fhat I liave read and examined fhis application and know fhe same to be true and � �r^ — � I <br /> correct. All provisions of laws and ordinances goveming this type of work will be completed � L� I <br /> whether specified herein or nof. The granting o/a permif does nof presume fo glve authority to <br /> violafe or cancel the Provisions of any other state or local law regu/eting construction or the <br /> performance o(cousiruction. That 1 am aufhonzed by the owner ot this property to peAortn the <br /> work lor which application is made and 1 comply wifh fhe State Contrac(ors Law 1 R.27 RCW and <br /> 296.200 WAC. <br /> ��//_ �/���— /o - 3!- // <br /> "��8���e oa�a <br />