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C 1—t � �� ' � 3 C7� <br /> � � <br /> ELECTRICAL PERMIT APPLIGATION <br /> CITY OF EVERETY PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> a25-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br /> I � 5 v--`. <br /> PROJECT ADDRESS <br /> Owner �� �� Mail Atldress ��ry S�a�eIZ�P P�o�e <br /> Tenant Mail Addre�s Ciy Slate�Z�p Pnone <br /> .:�-, -a i� �h � t �c� q �:I .�; <br /> Eiectncai Contrector MeilnAdreas CMy Slate2�p a� •�y E�' P�one <br /> "'� OQ <br /> �� �.+�,v���i A�l'� - � D� <br /> State license Numter Contred Priee of Work <br /> SF� 5�� <br /> Proposed Use of Building Contad Person (Plan Review) <br /> DescripGon of Wo1k`to Be Done: \ P��J,Q CJe-- ��� ' W � � `-'—' ' v � <br /> ��1 \ <br /> � <br /> NOTE: WIRING IN NON•pWELLINGS IS REQUIRED TO FEE M1 <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> -��oDc�� <br /> CI'fY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> 1 hsreDy L2Rily fhat!Aave read end examined tnis applieation and know Me same to be true and /^ <br /> corract. Atl prov/elons of laws and orolnances govem�nQ fiis rype ol wark will be complefeC /� �� �� <br /> wnefher specrfied herein or no1. The granHn9 oIa pemnf tloes not aresume to glve authoriry fo Tt�c <br /> violateorc8ncellhe provisionso�anyotherstateorfowflawregulatingconstructlonortne . <br /> performance of conshucfion. Triat/am auMorized bylhe owner o(thrs property to peAorm!he <br /> wo ror wnieh eppllcahon�s made and I compry w�th fhe Stafe Contracfors Law 18.27 RCW end <br /> oWA� �(�o�'i 3 ( <br /> ' � 8 <br /> S�g�eWre a t <br />