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C � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, 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 /> 1325 P�4c�►F�a ��E _ <br /> PROJECTADDRESS <br /> �� ���� � <br /> Ovrne� Meil Address City StatelZip Phone <br /> M.�'�'fj .1 <br /> Tenanl Mail Address City State2ip P�e <br /> �C,RiI �Irirrau�u�i� iA�(�i �L30 �Q� /�✓LNC �11.Y"^'�' �✓b g�'A{7 <br /> Electrical Contractor Mail� City State2�p /,r� �?''P�+�+e <br /> C9i�) rI <br /> � • ���, qS1 uT <br /> State License Number Contrad Price of Work <br /> �l y�, i�ILLL ���/�t 1ta0 <br /> Proposed Use a(Building Contact Person (Plan Review) <br /> Description of Work tu Be Done: TrJi�]}�,�_,�3� T SrY�fs <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E Ur� <br /> BE IN RACEWAYS, MC OR AC CABLE. r 6 <br /> �� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> 1 hereby certily fhat 1 have read and examined fhis applicafion and know the same to be frue and � I�O I _ `, '� / <br /> carect. All provisions of laws and ordinances goveming fhis type ol wak will be completed V � <br /> whether spea�ed herein or nol. The grantinp o/a permil dces notpre sume to give authoriry fo <br /> violate or cancel the provisions o/any ofher sfate or local law regu/afing construction or fhe <br /> peAamance o/construc(�on. Thaf 1 am authorized by the owner o/thisproperty to perfam fhe <br /> work lor which application is made and/comply with the Sfafe Contracfas Law 18.27 RCW and <br /> 296.200 WAC. <br /> ��,,,\\`� �J`� I(zs�C,R <br /> Signawre Date <br />