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- � . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES /_17 -�Z <br /> 3200 CEDAR STREET, EVERETT,WA 98201 G���_df/G <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �2 �Od �a�.�iG ��- <br /> PROJECTADDRESS <br /> p�e� Mall Address City State/Zlp Phone <br /> C� n t �f 2J <br /> Tenant Mail Address ��b 5����P �zS PhO"a <br /> �01 r�e���c r���? I ('l� �i��'rua 51- �+2re�- l�)�- �iXZb I Zsg-3l�s5 <br /> ElectricalContractor MallAddress City SWteZp Phone <br /> So N � r p�9��'D 7 5°c�o� <br /> Stale License Number Contract Price of Work <br /> �0�-t' �, <br /> Proposed Use of Building Conlact Pe on (Plan Review) <br /> Description of Wortc to Be Done: CJ' ����n�'I ����"�"`'"�� �� ' " �� ���r'V ` <br /> e <br /> ,� , 'r r �4' � u}� � <br /> ,(,�.t`i�g , <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. ���� <br /> CITY OF EVERETT LOCAL SAIES TAX CODE IS 3105 <br /> I here6y cerii(y that 1 have read and exemined th(s application and know the same to 6e true and �I ZO I —Q 4� <br /> cwrect. All provls7ons of la.vs and ordinences goveming thls type olwork will be complefed <br /> whether sp�clfied hereln or not. The grenting of e permrt does not presume to give authortty fo <br /> vlolete or cancel fhe provislons ol any other sfate orlocal law reguleHng conshvction or the <br /> peAormance o/constructlon. Thaf 1 em euthorized by the owner olthis property to peAorm the <br /> work lor whlch eppllcation!s made and 1 comply with the Stete Contracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> f �p � �Z <br /> na ure � <br />