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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-2.`,7-8857 — www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCFPTED <br /> � <br /> ; ( � ),`S 1\Z`� ��e �lc I' �'('_, <br /> PROJECT ADDRESS <br /> �ZS ZSZ-�.`_z) <br /> v�-��� l�l� i �.��e' V�\I�"�C1 I� ��-��1� ���e�-E�t�1� �I��,' �L� V� IT �,1�� ���Z��� <br /> Owner Mail Address Cily State/Zip Phone <br /> `z��1i1�. Gt5 Cl��r;�� <br /> Tenant Mail Address City SWtelZip Phone <br /> Elec�rical Contraclor Mail Address Ciry State.�Zip Phone <br /> State License Number Contrect Price o(Work <br /> Proposed Use of E3uildin� Contact Person (Plan Review) <br /> Description of Work to Be Done: �'' � I � e%��C�"l r l::� ��� LZc1���1'f , �C�f�{�- �E%L��l� �_ <br /> � <br /> ( .�: �. � ZG�C R wr �> 5 (� i. � � /� > <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � ( �� <br /> �_J <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi/y thaf 1 have read and examined fhis application and kno�v the same to 6e true and <br /> con�ecL All prov�sions o/laws and ordinances yo��erniny this type ol�vork wi116e cornplefed <br /> whether speciGed hercin or noL The granting �la pennd does nef presume to give authority fo <br /> violate or canr.el lhe provisions o(any other slafe or local law regulafing cons'�uc6on or the <br /> perlormance o�consiruction. Thaf 1 am authorized by(he e�vner oRhis property to perfenn(he <br /> work!Or�vhich application is made nnd I con-ply witb the State Confracters La�v 18.D RCW and <br /> 29ti200 WAC. <br /> �-- <br /> � � ' i � � <br /> � . �V , '� ( ��,�i- IL ���.C'�(,i� <br /> Sit�n�lme .- — Dalc <br /> � .t- 1.���� V - (/ C_ <br />