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t . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVFRETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> , � � r 3 ..16 .-05 <br /> ��=',� ��k�.5 /IU� �'� 50��� <br /> PROJECT ADDRESS <br /> y�s= <br /> �s�9 - <br /> ,�=�lr�,Ei�vS /Y7C C��k�5,9uL`- ��7� l��i �- �'Kz�� ��,>> <br /> Ownef Mail Address Ciry Slate/Zip Phone <br /> ti�� <br /> Tenanl Mail Atldress City State2lp Phone <br /> %l5'- <br /> �i�sr�,¢�� ,���r�rC /%1� n,.e�s��� - ��rr-, �,�� ��o� �.�s�- �E 3 <br /> , <br /> Electrical Contractor A4ail Address City State2lp Phone <br /> Fl,CsrC� 9T �,�� /�.�- <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Perscn (Plan Review) <br /> Description of Work to Oe Done: n�r�� Zm����'n C/'��?v s����� `��� <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 certity that 1 have read and examined this app!ication and kncw the same to be true and <br /> correct. A/l provisions ollaws and ordinances goveming this rype ol work will be completed <br /> whefher specified herein or not The granting of a permit does nof presume to give authonty to <br /> violate or cancel the provisions of any other state or local law regu/ating construct�on or the <br /> pe�formance c)construct�on. That 1 am aufhonzed by the owner of this prcpeny to nerform the <br /> work Ior which application is made and I wmply wrtb fhe State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �� ) <br /> ��!Cr�� :rl�f��;`� J �� '�"' <br /> �ure � 1% Date <br /> � <br /> 5�3 - -7I <br />