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����� <br /> �-1 rY, <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 -DEBIT&CREDIT CAROS ARE NOT ACCEPTED <br /> � -� , <br /> �:��z ( �> � i�. �r� l I C�<<�.� ��1��.���i <br /> PROJECT ADDRESS <br /> �`1�.�� ��\ C�C���IL �fX� U�1.i�l�a,,i 1t, Sy-. � <br /> 1-�C .1��; r�e'�S , , { ��-t� c�5� <br /> OWner Mail Addross City jtE"j,�l�, StatalZip L�.p,i C` Phono�1 � <br /> 1 i���'� - <br /> _C., <br /> ��-%(7U t.; <br /> Tenanl Mail Addmss City SlalclZip Phono <br /> �rr�n,�n`'�'t� i���l �����1 fl�L�r� (1�,r�i�1�� �v��,�t�- �_��n �����_, �>>�, �'��c��, <br /> EleclnCal CoNraCtof Mail Address Cily Slato2ip Phona <br /> 1��.m Gc l�v�y=� �����" � ICx`� <br /> State Licensr.Number Contract Price of Work <br /> i <br /> R�.tr� � I Y� fY�� '�rrn^, u�:��r� <br /> Proposed Use of Bui!ding Conlact Person (Plan Review) <br /> i � <br /> Descripllon of Work ro Be Done: �1 �� ��! �( � -� � 1 l�'.� n�) 7 ".��.—��� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. — <br /> ���� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hem6y ceRily fhat/have read and examined this application and know tho same fo be true and <br /> cor+ect. All provisions o(laws and ordinances governmg fhis fype ol wo�k will be completed <br /> whefher specified herein or not The granting oIa permd does not presume ro give authonty to <br /> viola(e or cancel the provisions ol any other stato or local law regulafing consWcfion or the <br /> performance o(constn,ction. That I am aufhorized by fhe owner ol this property to peAortn the <br /> work for which application is mado and 1 compty wifh the State Contracrors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � —� < /��-o y <br /> '��:'l� =�fivn�:�r.'Y� <br /> SignaWm Dato <br /> �o � � L `� <br />