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� <br />ELECTRICAL PERMIT APPLICATION <br />CITY �OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREF.T, EVERETT. WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3 b o C,c�A4 /� �C <br />PROJECT ADDRESS <br />I�A�,t� /�V � b'ZI / L 7��=/Z s y�- 7 5' 7 A-(, 0 S� <br />Owner Mail Address City SlatelZip Phonc <br />Tenanl <br />Mail Address <br />��� �' l7 / %i � � /— �.X.� � � O �—� � <br />Electrical CoNracloi tdail AAdress <br />/�1�6lNi= �Op��J <br />Stale License Number <br />Praposed Use ol �uilding <br />City <br />Cily <br />Stale2ip <br />Contracl Price o( Work <br />Contact Person (Plan R�view) <br />Description of Work to 6e Done: _� �51� � A�1 F� C-� •�� • � r��� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />CiE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />FEE <br />u �1 <br />5 5 <br />1 here6y certity fhat I have read and examined fhis application and kno�ti fhe sarne to be frue and <br />co�recL All p�ovisions o/ laws and ordinances govermng this typa o/ �t�ork will be compl�ted <br />whefher speci6ed herein ornot. Tha granLng ola pernuf does not presume to give authority to <br />violafe or cancel fhe provisions o/ any ofher state or;ocal la�v regulating consiruction or the <br />perlomrence o/construcfion. Thaf I ant atdhorized b}� Ihe o�vner of this properiy fo pe�form the <br />�vor!< Ioi which applicafion is nlade and I cornply u�ifh the Sfate Contraclors La�v 1A.27 RCW and <br />29G.200 WAC. <br />-/2- O <br />Phone <br />Phone <br />