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�: t <br /> ELECTRICAL PERMlT 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 /> APPLICATlONS ARE ACCEPTED FROM 6 AM T9 4 PM <br /> /3v �� rh� ,4 � ���� � <br /> PROJECT ADDRES� � <br /> ��t�� y ,-�ira �f �d6-85_;- 3Y S <br /> Owner MailAddress City State/Zip phone <br /> �i.C1G ��h fy-y — <br /> Tenant MailAdtlress City Slatrs2ip Phono <br /> �r�l,�-�/�'�/r.�-u�� //y/� .t�� i3-y��'I/. j�rf�e��./ �/'N �t'�Jns'S' xa�- �or-3 G�£� <br /> EleclriCalContractor MailAadress City Slate2ip Phono <br /> �rl <eSo77TG d(,�crU <br /> State License Numter Contract Price af 1Nor!: <br /> �;�fi�.Y �� /�-e'Sdir[r'e�i�:��� <br /> P opo es drUse f Building Contact Person (Plan Reviewl <br /> Descnption of Work to Be Done: �'i�(Jrr-C � �J t`�� �iD"yi? i l–t • <br /> ��(s �c«, i> �- T !�. — �'- n �.�,� c�'�kfs <br /> NOTE' WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> ----� i <br /> I he/eGy cerid}�that I have read and examinod(his applicalion and know Ihe same lo bo frue and <br /> crorroct. All provimons olla�vs and ordinances govemmg Ihis type ol�vork will be c�omplefed <br /> �vhother speaGed harnin or no(. The gn,nting ol a parmR doos not prosumo fo give authonry to <br /> vioiato or cance�rhe prov�srons ol any otner stafe or local la�v regulating consfrucfion or the <br /> pedonnanco o/constn�cfron. Thal!am aufhonzed 6y the o�vner o/lhis propetly fo pedomi fhe <br /> work lor�vhich applicahon Is made and I cnmply wdh fhe Slafe Confractors La�v 18.27 RCW and <br /> 296.2fl0 WAC. <br /> ���� �� ��e���.�. �i���d� /� � �� <br /> Signature D le I .i� � <br /> V�' <br />