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, <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ,c`� y <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ��S <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org 13� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��/D� /�/,2l�i/�C..!_>�L> Y��,/ /J /R��/� <br /> PROJECT ADDRESS <br /> �G ��� ��� <br /> Owner Mail Address Ciry Slate2ip Phone <br /> Tenanl Mail Aduress City Stale2ip Phone <br /> �. � ;� . L��-�' /°���0�' u��°� CJ ��/,-�>oaols� `I-��v,�� yi�����,�_?IG,G <br /> ���/�o�v �i <br /> Electrical Contraclor Mail Address Ciry Stale2ip Phone <br /> / I Id7 �� � <br /> �1'J L'/l� /.l i� �. ���n — <br /> State License Number Contracl Price of Work <br /> Proposed Usr of Building Conlact Person (Plan Review) i <br /> /� /" <br /> Description of Work lo Be Done: �U� N�I^•a i� � .av�/) o .��: <br /> NOTE: WIRING IN fJON-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 ceriily fha,!1 have read and examined fhis applicefion and know fhe same fo be fn�e ard <br /> correcf. All provisions o/laws and ordinances goveming Ihrs lype ol work will be completed <br /> whether speci6ed herein or not The granfinc�o/a pernuf does not resume to give authonty fo <br /> violafe or cancel fhe provisions ol any other stale or local law reguPting construction or the <br /> performance of consfrucfion. That I am authorized by the c�vner o/this property fo peAomi the <br /> work for which application is made and I compty with fhe State Contracfors Law 18.27 RCW and <br /> 29G.200 WAC. <br /> �" / <br /> i <br /> r�.�i.�S�� .���� � <br /> /' i�r,...,..; <br /> Si iaWre / Date r-n <br /> . U'V�/ I u/ v <br />