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c <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ��/ ��/O <br /> 425-257-R810 - FAX 425-257-8857—www.everettwa.org �/D� z �OG�S <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM <br /> �00'7 O�KES �j-��'_- �iLF��rr- R��69 <br /> PROJECT ADDRESS <br /> �V�Y►J I�`r,��S IUa7 o�4CEs .�. Evr��rr w�- ���o/ 9xs>yb-a.� 6 <br /> Owner Mail Addrass Cily Slate/Zip Phone <br /> Tenant Mail Address City Stale2ip Phono <br /> �DG� E��« `lll2is7�'�`sr, ,vw S`�wa.+� G✓� 9&�9Z �`I.ZS-.1�3-8� i <br /> Elec�rical Conlractor Mail Address Clly Slale/Zip Phone <br /> Enc��- y q ���3 �'��.�� <br /> Slate Liconse Number Conlract Price of Work <br /> —��Si 9[�� <br /> Proposed Use of Buildinc� Contact Person (Plan Review) <br /> Descriplion o(Work to De Done: w��`-� N�� �UCT�rls �r�./T �j'�-J a� <br /> . <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 cmiil}�fhaf 1 have:ead nnd exarnined this applicafion nnd know tho same to 6e fruo and <br /> correcL A/l provisions o(/aws and ordinonces govemma this type o/work�vill Go completed <br /> �vhether speafied herein or noL The�rantinc�of a pernut does notp resume to give authonty to �/ <br /> violate or cancel the provisions o!any other statQ or local la�v regulating construcfion or fho � <br /> perfonnance o/constn�ction. That I am aufhonzed 6}�the owner of Ihis property fo perfomi fhe � <br /> ivork lor,vhich applipation is mado and 1 comply�rifh tl�e State Confractors Law 18.27 RCW and /J <br /> 296.200,WAC. � 1 I �/ <br /> J,�� '.' lZ�I�-!d <br /> Si�nalu � Date <br />