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� <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 /> 132s �ncl�� � � � <br /> PROJECT ADDRESS <br /> Owner Mail Addresa City Stata/Lp Phone <br /> �2 C1—I c �t �, <br /> Tenant Mait Address CHy Stata/Lp Phare <br /> Cl,A2 tT�� SIC�t�� S `720 �4 nl� 11,~�"S+ �tnw�.� 1�,q `Z �UZ�S <br /> Elactrical ConVactor Mall Addreas Gty Slale2lp Phone <br /> C(,p t� �S( �2'1 B t-�- 1 o I�- <br /> State License Number Contrad Price of Work <br /> L.(� w� vr� � U �t � <br /> Proposed Use of Building Contad Person (Plan Review) <br /> Description of Work to Be Done: � �"` S { �� 1 l l� � � � � U lM � v� D�� [v C��i� �� I �- �V � ���'`S <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. GO L� � <br /> ,/ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby ceRily}hat 1 have read end examined thls application and know the same to be true and � �Z��—�6� <br /> correct. All prov/slons ollaws and ordinances goveming ihls type ol worlc wlll be completed <br /> wheflier specified herein or not. The granting o/a permd does nof resume to glve authority to <br /> violate or cancel the�rovisions ol any otlier sfate or local law reguPeting construct7on or the <br /> pedormance o/construct/on. That 1 em euthonzed by the owner o/thls properfy to peAorm the <br /> --work/or which epplicetion i mede end l compfy wlth the State GoMroctorrL�ew�f 9:27-R6N`ertd <br /> 29G.200 WAC. <br /> � 1,t,t,t,% ,----- � a y a o <br /> I ature Date <br />