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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ,i .. a� _ 08 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � g�� ���� <br /> 425-257-8810 - FAX 425-257-8857 —www.everetlwa.org � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �.�.�� � �1�t.�S <br /> PROJECT ADDRESS <br /> �IJ�K L--v c-t��� \� 1 c: C�i�� ��.r t�c�C.-�� w� �-�-,�`o�°�lo�, <br /> Owner Mail Address City SWte/Zip Phone <br /> Tenant Mail Address City Slate/Zip Phone <br /> ����ci�Qc���� C�-cc.����. (�c� �cy�� ��• �V�\�—'SE�� Wt� `'�Z'1� �IZSSb�-ct',�;`� <br /> Elecirical Coniraclor Mail Address Ciry S�ateRip Phone <br /> State License Number Contract Price of Work <br /> Q l�`>\�7C,ti�-�`���� <br /> Proposed Use o(Buildin9 Contac� Person (Plan Review) <br /> Descriplion of Work to Bo Done: ��-\Z\L�- L�QQ��h'�� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RAC�LN�YS, MC OR AC CABLE. <br /> % � <br /> CITY OF EVEI2ETT LOCAL SALES TAX CODE IS 3105 ��,� I I ,q 1 � <br /> 1 hereby cer�ily lhat I have read and examined lhis applica;ion and know the same to be We and <br /> I <br /> con�cL Alpravisions of laws and ordinances govemicg this fype oi�vork�vill be complefed <br /> whetlier s ecil�ed herein or noL The granfing oI a pernut does not resume to give authority to <br /> violate or cancel the�rovisions ol any other stafe or local law reguPting construc6on or fite <br /> pedorma ice of construction. Thaf 1 am aulhorized by fhe owner of flus property to peAorm fhe <br /> �vork for vhich application is rnade and I compty with the Stafe Confractors Law 18.27 RCW and <br /> 296.200 C. / <br /> ' �� ��� ��-� <br /> - � Signalure ° Date <br /> i� <br />