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ELECTRICAL PERMIT APPLI�ATION <br /> CITY OF tVERETT 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 /> �U 1 ��.��c /�-V\� � ��1 C I \ V J/� � <br /> PROJECT ADDRESS <br /> J-.]NCs�i��� K� J�.�l��pcJ�l � � 3ZU� �nc��l��VC ���7c11W��. <br /> Owner Mail Addre�.,s City State2ip 4ZS'�JQ�7L4d <br /> Tenanl Mail Address City State2ip Phene <br /> `���Z�\�l-LJ1i��4'� �1� . '��� V�L� WL'/vC�z�1,�'ti '� v�. 42s�zsy-zzyo <br /> Electrical Contractor M1iail Address City SlalelZip Phone <br /> �Z���' \d\C-� �`--��d <br /> St2te License IJumber Contract Price o(Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Vrbrk fo Be Done: ��1�\'CA►Z�4 ``'� '�`�'��� <br /> NOTE: WIRING IN PJON-DWEILINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 Ae�eby cerfily fhat I have read and examined fhis applicafion and know fhe same to be tnie and <br /> conect All provisrons o/laws and ordinances govemmg fhis fype ol�vork will be complefed <br /> �rhefher specilied herein or naL The granting o(a permd does nol presum2 to give aufhonty fo <br /> violate or cancel Ihe provisions oI any other sfsfe or local laa�regulafing r,onstruc6on or the <br /> perlormance o/construGron. That I am aufhorized by fhe owner o/this properry to peAorm fhe <br /> �vork(or wbich appric9lion is made.andJ i ly with fhe Stale Contracfors Lrw 18.27 RCW and <br /> 29r.200VVAC. ,- - �" <br /> I � / <br /> I - -�---�_ <br /> �.'..� SignaWre' Date <br /> EU�l D�-1I�( <br />