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Sev . 1 ?. ?ppfi f�� : �i�1,1 TECHI�lA C1'Si��:S UJC � Iia.F2t� P • 1 � <br /> i �, <br /> ELECTRICAL PERMIT APPLICATION <br /> C17Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, �VERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-B857—www.everettwa.org <br /> APPLICAT10N5 ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � � i <br /> � �� � � 1�, �= <br /> ROJECT ADDRESS �� <br /> � `—– <br /> � <br /> �' d � �1 <br /> er � � A1ail Address Ciry •Stste2 p � phcne <br /> Tenent Mall Addroc6 Clty . Slate/Zlp • ?hone <br /> � ►��S�,cS� I�U� �}a�,��1 �rr�&�ga►'�svl I�� q8'a�� <br /> Electncal Contractor �Malt Address City State2lp Phcne <br /> rt���-t-� �-i �U� �7d d . o� <br /> Stdte License Numbe� � nVact Prlce of rk <br /> ' ;I?� b <br /> Proposed Uee ot Building Contect Percon (Plen Revlew) <br /> � /'�W , /� ,/� , � <br /> Descrlptlon of Work to Be don¢,�/ ��. cSL, � `� <br /> NOTE: WIRING IIV NON-DWELLINGS IS REQ:JIRED TO PEE <br /> BE IN RACEWAYS, MC OR AC CABLE: <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3108 <br /> 1 herebyCer'uty}hat I heve ra6d and examlred th/s epplication end krow the same 2o be lrue Gr7d <br /> correct. AI!prevlslcns oflews end ordinances goveming this type of wor'rc wNl be completed <br /> whetherspecified herein ernoi. The grantin,y c/e porm7t does notpresume to C�✓e authodfy to � <br /> violate or cencel the provlslons of sny other stat�orloca!!aw regu/eHng constructicn or the � ` <br /> psr?ormence of constructlon. That!6m euthuNzed by the owner of this property to peAorm the I <br /> work Ior which appllcat/on Is made and l comp/y�yith the State Contractors Lav�18.27 RCVV and <br /> 296.200 WAC. � <br /> �C��� � / a . �'� <br /> Ip ure Ca;e <br /> � <br /> . a.P�' - � ��-� y����8 - 8�3 �� �d5. �_� � - <br />