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6 <br /> 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREIT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �QZC9� /��Ls/L/O//9i✓ /4 ✓G' <br /> PROJECT ADDRESS <br /> �✓��o�U G�Nst.��G�,o.� <br /> Owner Mail Address City Stale2ip Phone <br /> Tenant Mail Address Ciry Slale/Zip Phone <br /> (,��2Qc�.vi 1�wr�� 9s'q so��c� sT •��i�a�� 9��Lo <br /> ElecUical Contraclor Mail Address � Cily State/Zip Phone <br /> �fZ S- 7 78'-:SrL 3v <br /> �jU�2Gr/ O�t K� <br /> Stale License Number Conlracl Price of Work <br /> Proposed Usc of 8uilding Conlacl Person (Plan Review) <br /> �--- � � /� '/� [ <br /> Description o(Work lo Be Dane: _ I�h�� �� �/� G 2 /,/�/�— y Q /`/�m� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CIiY OF EVFP.�T f LOCAL SALES TAX CODE IS 3105 <br /> I herobv:;erti/y fhaf I l�ave read and exarnined fhis applicafion and know the same(o be true and <br /> corre�L All provisions ol laws and oidinances govermng fhis type o/work will be complefed � (;j �(,� �-L��'� <br /> whether spea6ed he��in or not The g�anting o/a pemuf does nof presume fo give aufhority to <br /> violale or cancel the provisions oI mry ofher sfate or local law regulating construcfion or the <br /> pe�fornrance o/construc6on. Thaf 1 am autl orized by the owner o/fhis property fo peifom�fhe <br /> n�ork lo�a-hich application is rnade and 1 con ly with the Sfate Confrocfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> -`� o I z� a S <br /> � i�naWre Da�e <br />