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� * <br /> ELECTRICAL 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 ACCEPTED FROM 8 AM TO 4 PM <br /> ,_,l�D� �,��l�i/� l'�?,(� ��.('l�.i ���0 �� <br /> PROJECT ADDRESS <br /> •�,�s=7�.2-'�/�.� <br /> �// �tYL"c� OI/!". � �/D /�/0/11'!J[���,$'f' .6i/I �tr �L� �A> .l�i� ea G-� ��/.�',/ <br /> Owner Mail Address Ciry Slate/Zi� Phone <br /> Tenant Mail Address City State/Zip Phone <br /> �fy� 4,, ,(� �7 / J �A � p�i��� ��')/L�. <br /> /�Zr /J'/L�� 7 �1'!'�/-� , �'T�DS� 9.�'•� //JC l�) �cl�no '��s' .li�A /�e�L• —J, <br /> /.J `!.'.// 1'i [_ <br /> Eleclrical CoNractor Mail Address City State/Zip Phone <br /> �f1��i�:nl�==i D 9_I�� �,7 6��'`-� <br /> Stale License Number Conlract Price of Work � <br /> S1{fq16(Q^ /C!" ��J/Y" H/J� ///A.C� /i/o- i J.Jt'. <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description o(Work lo Be Done: /(Ji.Q L� // k: /7/J/ ����" <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�S 3105 <br /> 1 hereby cerlily fhat 1 have mad and examined fhis applicalion and know fhe same to be We and <br /> correcL Alf pruvisions olla�vs and ordinances govenung fhis typo o/work will be completed <br /> whether spea6ed herein or noL The granting of a permd does not�reswne fo give airthorif}�to <br /> violate or cancel the provisions o/any other sfate orlocal!aw regulating consWction or the <br /> perfonnance o/construcfion. That I am aufhonzed by the owner oI ihis property to perfomi the <br /> work lor which application is made and 1 cornply wifh the Sfate Contractors Law 18.27 RCW and <br /> 296.200 WAC. � <br /> />'�/ d/. ��� .n�� -�a�G � 5' .� �i <br /> Sic�nature Date �� <br /> V � <br />