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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 ACC�PTED FROM 8 AM TO 4 PM <br /> � � '3 " S �'1 — c� 3� <br /> �/ l �x���l �i , i <br /> PROJECT ADDRESS <br /> �1-� 1��� ,�/" <br /> Owner �dail Address City State2ip Phone <br /> Tenanl Atail Address Ciry State/Zip / Phone <br /> ,p ��J � 7��•7/LL <br /> `77�`.E�,,,..:., ! � t -.. /ti.�o�' .��=J�:c �J C'o%��o/s lJ9 9��a� <br /> ElectriCal Coniract Mail Address Cily �State2ip Phone <br /> �7�'1C.°il '�iJ � � 07 � .� �oa �o <br /> State License Number Contracl Price of Work <br /> F <br /> Propose Use o B i d' g U` �v ��- Contact Person (Plan Review) ' <br /> Descriplion of Work lo Be Done: �j2� 'A 9iJA �n� 9`" �A <br /> NOTE: WIRING IN NON-DW[LLINGS IS REQUIREC TO FEE <br /> � BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 he�eby certily thaf 1 have read and examined tnis application and know fhe same to be We and <br /> correcL Al/provisions ollaws and oidinances goveming this type o/work will be complefed <br /> �vhether specilied herein or not The granting ol a permrt does nof presume fo give authonty fo <br /> violale or cancel the provisions ol any other sfate orlocal law regulaling construction or fhe <br /> performance ol construction. That I am aulh nzed by the owner o!th�s property to peifonn the <br /> work/or ivhich application is made and I cor ply with fhe Sfafe Gonfractnrs Law 18.27 RCW and <br /> 296.700 WAC.� <br /> �_ ;'���� t� � � 3- a� �o � <br /> �gnature Date <br /> ��(�G� •l7 Z <br />