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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.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �3 i 6 ��,,m �s <br /> PROJECT ADDRESS <br /> �� U - - . <br /> Owner Mail Ad ress City State/Zip Phone <br /> Tenant Mail Address �� Slate/Zip Phone <br /> ���� C��' c,�C'f L t"J '�JOx �10g ���v�q5-�N �l/� �t�3y� /a�'Z�SS�� <br /> d Phone <br /> Eleclrical Contraclor Mail Address City Staterzlp <br /> VAP r- �� � R�G R� g �oo � <br /> Stale License Number Contract Price of Work <br /> proposed Use o� Contacl Person (Plan Review) <br /> DescriplianofWorkloBaDone: (.Ov� TR�Gl1O�'`� . �V��✓ 1Qe$//�NPQL I4�J�"1� <br /> HV/� T11rfMO5TNT r!N����� �I �i� � �W VU "�t� <br /> NOTE: WIRING Ih NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. I!�O�� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> 1 hereby cerlily that I havo reod and examined this application and know the same to be We and � l2�� — �� <br /> correct. All p�c.islons o/laws and or�/inances goveming fhis type oI work will be completed <br /> whether specified herein or nof. The granting ol a permd does notp resume to give authonty to <br /> violaleorcancelflio�rovisionso/anyoflierstafeorlocallawreguletingconsfructlonorfhe <br /> perfomiance o/conslrucfion. Tliot I am aufhorized 6y tlie owner o/this propeny to perform Ihe <br /> work/or which application is made and 1 comply with fho Stafe Conlractors Law 18.27 RCW and <br /> 29G.200 WAC. <br /> ��) � � M ( �1Z <br /> Si qatuTe Date <br />