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(, .. <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES pq <br /> 3200 CEDAR STREET, EVERETT, WA 98201 Q`�b <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org �09 p 9�-D� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> i E� �- 9 u� <br /> PROJECT DRESS <br /> K � ,� 1.� \`� l��\ M�4 sT- ��<rz �1 t,.l� 9`�201 �IT.s-- sso-sis� <br /> Owner Mail Address Cily SWteZp Phone <br /> Tenant Mall Address City State/Lp Phorre <br /> F�1y,a�' - <br /> Eledrical Contractor Mall Address City State2lp Phone <br /> O'.�-���' <br /> State License Number Contract Price ot Work <br /> C�Uv SP Contact Petson Plan Revlew) <br /> Proposed Use of Buitding ( <br /> Descriplion of Wark to Bo Done: \ G v�� \ �1n�p�P <br /> J <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 i, <br /> 1 hereby certily that 1 have read and examined this applicafion and know the same to 6e frue and �.���rr�- v;� <br /> correcf. All provisions ollaws and ordinances goveming this type ol worlc wlll be complefed <br /> whether specified herein or not. The granting of a permit does not presume fo glve authority to <br /> violafe or cancel the provisions o/any ofher stafe or local lew regulating conshucGon or the <br /> performance o/construction. That I em aufhonzed by the owner of fh7s property to perform the <br /> work lor which application is mnde and 1 comply with fhe State Contrac(ors Law f 8.27 RCW end <br /> 296.200 WAC. <br /> ���f -- �t' Lo �`1 <br /> Signa Date <br />