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� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES a�ab_o7 <br />425-257 8810 DA FAX 425-257 8857 -�www.eve?ettwa.org � 07� a` D� 3 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />2 (; ��/ �^� - �ic�l-, � ;� l�/�� <br />PROJECT ADDRESS <br />�- � n�`�yi^-'� 2c� d <br />Owner <br />Tenanl <br />� i,. }�- ✓- <br />Eleclrical Contraclor <br />Slate License Number <br />Propased Use o( Duildinc� <br />Doscriplion of Worh to Oe Done: <br />�ail Address <br />Mail Addmss <br />MailAddress <br />�� <br />(��1 Cl � �I <br />� <br />���Y <br />City <br />ciiy <br />� ��� ����� <br />l�'JGd�% �-rvr <br />Stale/Zip <br />Stalc2ip <br />Slale2ip <br />Conlract Price of Work <br />,/�"o( <br />Pl�one <br />Phone <br />Phone <br />Contacl Person (Plan Review) <br />�c l, I�� � �" r' h�S <br />NO?[� WIRING IN NON-DW[LLINGS IS REQUIRED TO FEE <br />6E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi(y fl�af ! have read and exarnined fliis applicafion and kno�r fhe sarne to be frue and � .� <br />wnect. All prov�sions o/ lau�s and ordinances governm� fhis f}�pe o/ �vork will be cornpleted �" •, �(� � t� <br />�rhetlicr specdied herein or noL The gn�nting of a pernut does not /�resinne to give authonty fo L L � <br />violate or cancel lhe provisions oI any other sfafe or local laiv regulating conshuchon or fhe <br />pedomiance o� construction. That I �rn authonzed by the owner o( this property fo perlorm fhe <br />a�o�k lor �rhich applica(ion is rnadc and 1 conq�ly wifh Ihe State Confracfo�s La�r 18.27 RCW and <br />296.200 INAC. <br />�' -� <br />��%t__ _ ��� ` � / �� ��� <br />