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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 /> ���� 3� ���� �/,�`� ��� <br /> PROJEC ADDRESS <br /> �i9/�' CorvyT/l�/�i�air/ yNoirb�,sf/ <br /> Owner Mail Address City Slate/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> _�i�D !/�� T��� �q,�� �q�,�� ��� cv����--. �� ye.�of <br /> Elactrical CoNraclor Mail Address �— � Ci�v State2ip Phone <br /> ydf-7f -o p <br /> _P�� ����oay Gz .�/soo. o� <br /> Slale License Nwn er Conlract Price of Work <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Descriplion of Work lo Oe Done: ///� �'!/ ���/l'J%�Yl/G(/O/�/ y//�� <br /> ��� ��l���G,c' �5�00 � TT <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRFD TO FEE <br /> BE IN RACEWAYS, MC OR AC CADLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi/y Ihat I have read and ex�mined this application and know fhe same to be We and <br /> correcf. All provisions ollaws and ordinances goveminc�fhis type of work will be completed <br /> whelher speciGeAherein or not The grantinc�o/a pernut does not resume fo�ive authonty to <br /> violafe or cancel lhe provisions olany other sfate or local law rec�uPling consVuchon or the <br /> peilormance o/consiruclion. Thaf I am authorized by the owner ol fh�s property to perlonn the <br /> work!or�vhich applicafion is made and 1 cornply wifh the State Confractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � � /�� <br /> -� O <br /> Signa�ure ale <br /> i�G�'3 ' / � v <br />