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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 /> �� ��� �� �r �iAl�/ ��/� <br /> PROJECT ADDRESS <br /> ���9� ���yr�U�ro� yyo�n�,s,s� <br /> Owner Mail Address City State/Zip Phone <br /> Tenanl Mail Address Cily SlaleRip Phone <br /> �i�0 vo�T.�GE �z�z��Trf���Ii,� ��/���r�/� �G,�o� y�o� o- <br /> ElecUical Conlractor Mail Addres Cily Slate2ip Phone � � <br /> (/ 1CD�?�'L z �y'so�. o0 <br /> tate License�r ' Conlracl Price of Work <br /> Proposed Use of Duilding Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: /�'//�/� G���GGT Qr� �,�f('�7� <br /> �G'O /�/I� f.�iC��/'�i= ,�fZo ,zl� T� <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 3105 <br /> 1 hereby ceitily Ihaf 1 have read and examined Ihis applicafion and know the same to be tnie and <br /> wnect. All provisions o/laws and ordinancrs governinc�fhis type ol work will be complefed <br /> whelher spec�6ed herein or noL The granting ol a pennrt does nof resume fo give authonty fo <br /> violate or cancel(he provisions ol ar�y other state or local law reguPfing construcUon or the <br /> performance o/constnicfion. 7hat 1 am aufAerrzed by fhe o�vner oI this property to perform the <br /> work lor�rhrch app/ication is made and 1 conrdp with fhe Sfate Confreclors La�r 18.27 RCW and <br /> 296.200 WAC. <br /> � ' r � <br /> -�i O6 <br /> `' ignaWre ate <br /> � <br /> ��p -� -- � �� <br />