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ELECTRICA� 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 ACCEPTEO FROM B AM TO 4 PM <br /> : 5' r� Z- Mi:LV�r.J /tV� # � <br /> PRGJECT ADDRESS <br /> _Sb �1 T�l l� U VJ V� � — <br /> Owner tdail Address Ciry State2ip Phone <br /> Tenanl Mail Address Cily Slate/Zip Phone <br /> IL1 � � I1�I V Tc-.�(,7�1 � C� 1N� <br /> Electrical Conlreclor Mail Address City StateiZip Phune <br /> /Lj C <, i I�,' F C 0 0 31v �- <br /> Slate License N�mber Conhacl Price of Wor1. <br /> S �^ <br /> Proposed Use of Duitding Conlacl Person (Plan Review) <br /> Description of Work to De Done: 7�V ��V 5 I' � -�6 ��'�'�� <br /> NOTE: WIRING IN NON-DWLLLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CADLE. <br /> � � � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cerfily fhaf 1 have mad and exarnir,eAthis applicafion and know fhe same fo be(rue and <br /> correcL All provisions ollaws and ordinances governin�fhis(ype ol work:vill be completed <br /> whelher specil�eAhem.in or not. The yran(ing ol a pernuf Aoes nol presunre fo give authority to <br /> violafe or cancel fhe pmvisions ol any ofher sfafe er local law regulaling consfrucGon or fhe <br /> pe�formance ol consfruction. Thaf 1 am aufhorized by the owner o!Ihis property to peAorm Ihe <br /> work�or which application is made and!comply wifh Ihe S(ate Confracfors Law 1817 RC W and <br /> 296.200 WAC. <br /> � ' �. J f�� — �5 — d�� <br /> �_. , <br /> tii,nature .- � . . '� Datc <br /> „ � .�U��� `�(U <br />