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,� , <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 7 -30 —07 <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org E �7o]v�$� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �'" O�, l7CS �-G <br /> PROJECT ADDRESS <br /> / ��a�:�' G/u �� r ,�'v��'��i <br /> Owner Mail AAdress Ciry Slate/Zip Phone <br /> ���</ �/�f <br /> Tenant Mail Address City S1ate2ip Phone <br /> /�'IO� �'�' ' <br /> �/i6�o�/�s �1�. �c� s/�uy y:,����, �P„l sc ��f� �?�-�i-�6z <br /> �lecirical Conlraclor Mail Address City , State/Zip Phone <br /> r���7��� �y��� `Ce/ �z�OoJ� <br /> State License Numher Contract Price ot Work <br /> � .� <br /> /( PS-l�" ' -' - � <br /> roposed Use of Building Contact Person (Plan Review) <br /> Description o(Work la Be Done: �_L 1'—G''- /�e�'r `l������ <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certAy fhaf 1 have read and examined Ihis applicafion and knou�the same fo be true and <br /> correcf. All provisions ollmvs and o�dinances govermn�Ous type o/work u�dl 6e conrpfefed <br /> whefher specilied herein or noL The granfin�o!a permd does not presume fc�ive aufhonty to � <br /> viola(e or cancel Ibe provisions ol any ofher sfate or loc�l law rec�ulating consfn�cfion or Ihe � � <br /> perlorrnance ol const�uclion. Th�t 1 am aufhorized 6y fhe owner o/this prope�iy to perfonn the <br /> work lor �vhich applicafion is made and I comply�vith Ihe State Contracfors Law 18.27 RCW and ��- I <br /> 296200 INAC. ,� <br /> '�,�,�' ��c���.� � 20-�7 <br /> Si�naWre Datc <br />