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} <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES _ ��r <br /> 3200 CEDAR STREET, EVERETT, WA 98201 So5 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org �° <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��b/ ///�,PAi//�.o.l� ��� � /�.��t� ��rJ <br /> PROJECT ADDRESS `_� <br /> ` /� �C%c'�(� �� <br /> Owner Mail Address City Stale/Zip Phone <br /> Tenant Mail Addres� City State2ip Phone <br /> �C/���r'i G L�"� "l ���-�D�S � � �.�Y/l � G�!»1D.�G1S 70'�.�G T�h ��7-..�'�/�b <br /> Eleclrical Conlracl Mail Address City State2ip Phone <br /> ///L .C..�h�L.- �D7 /� (o �f�o ° _ <br /> State License Number Contract Price of Work <br /> Proposed Use of Buildinc� Contact Person (Plan Review) <br /> Description of Work to Be Done: � 00 F}„� �� �o /Or �'iC <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cerlily that I have read and examined fhis application and know the same fo be true and <br /> correcL All provisions ollaws and ordinances govemmg fhis fype oI work will be complefed <br /> wbetherspeafied herein ornoL The granting o/a pernut does nof resume to give authonty lo <br /> violate or cancel fhe provisions of any ofher stafe or local law reguPling construction or the <br /> pe�formance ol construction. Thaf I am authorized by fhe owner ol fhis propeRy to perform fhe <br /> work Ior which applicafion is made and 1 co ply with fhe State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � �,P. ��� ��,.:� � a�.-d � <br /> S� nalure / Date I <br /> � <br /> Z, � G� <br />