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( <br /> ELECTRICAL PERMIr APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � � �3 —�� <br /> 425-257-8810 - FAX 425-257-8857—www.everetriva.org L 1 C a� —I C1� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��,� �/��o,�� d,.. <br /> PROJECT ADDRESS <br /> �(c�✓ �i5 B� / �aMG� <br /> Owner Mail Address ^� City State2ip Phone <br /> Tenant MailAddress .+�,,�_' �/, City , � State2lp Phone <br /> .�.��,SC �ls�'R— �!d!cll�.��,i �,�y� Lt,�/J CjG�4D �f�f��t-c'Ffs <br /> Eleclrical Contractor Mall Address Cily State/Zip Phone <br /> / �14'=-= <br /> �(� ��.. ���[�,�.j�.L/��, � /Fdd�. v� <br /> SPate L�enso Numbcr ` � Contract Price of Work <br /> Proposed Uso of Buiiding Contacl Person (Plan Reviow) <br /> Dascription of Work to Bo Done: �LNN�i l;.z�,,•�c' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby certily fhaf 1 l�ave read and exemined Ihis application and know tho same to be Wo and <br /> correct. All provisions o(laws and orrJinancos goveming this type of work will bo completed <br /> irhefher spec�GeA herein or noL The granting ol a perrnit does nof prosume to give authonry fo <br /> violafe or cancel the�rovisions ol any olher state or local law regulafing construction or fhe <br /> perlomtanca ol construction. That 1 arn aufhorized by fhe owner o/fhis property to perlonn the <br /> work lor whidi application is rnado and I cornply with tl�e Sfate Contractors Law 18.27 RCW and <br /> 296200 WAC. <br /> ' . � � 2 r�n 1 /��'� <br /> �jpn�wr o �e �' <br /> �: <br /> i <br />