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l <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> _L3�� D,�,� S <br /> PROJECT ADDRESS <br /> `7�+�'� <br /> �Tud ; .j�',���ii i��2 7 C,�Ai�S �ti� i%— lJi� ��/ <br /> OWner Mail Address City State/Zip Phone <br /> Tenant Mail Address City Slate/Zip Phone <br /> ��ON� �rv,U`� r�l-�'N/T FD,� �'r�'i�/ = �J<1�f-,t/�t <br /> lec�cal Conlractor Mall Address City State2lp Phone <br /> Slate License Number Coniract Price of Work <br /> �S-//VG[.� �ZES/,�L�l!/ f�Y' ��L.�.�N/ <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> Description of Work to Bo Done: �Fl.�(l� S -,Z�i�L ✓) !��_/�/�j L' n��KE" D— <br /> _ P��N�L <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 /> I hereby certify that 1 havo read and exam6ted this applicafion and know the same to be true and <br /> correct. All provisions of laws and ordinances goveming this type o(work wi116e complefed <br /> �vhether specified herein or noL Tho granting o/a permd does nof presume to glve authonty fo <br /> violafe or cance/the provlsions o/any ofher state or locallaw ragu/ating construction or tho <br /> pedom�ance of constn�ction. 17iaf 1 am au0ionzed by the owner o(this property to per/omi the <br /> work for which applicafion!s rnado and 1 compty with tho Sfafe Contracfors Law 18.27 RCW and \ <br /> 296.200 WAC. / 1 <br /> � 2� <br /> � � -�v , <br /> �� , , �i/,rr��z` 8 �- <br /> Dale <br />