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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 j//7�-/( <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org C'��� `�ZZ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �--G'Z�S IS (�-�LIc���CL- H1��— <br /> PROJECT ADDRESS <br /> f�q-� c�Y f s �-{�r�--� �('�-�.o� Z�33 i �� %� ��5�. �✓���- ��Z�� <br /> Owner MailAddress City State2ip "2$ 337�7��- <br /> 7 <br /> Tenant Mall Address City State2ip Phone <br /> (�W N E.��_ <br /> Electrical Contraclor Mail Address City State/Zip Phone <br /> State License Number Contrect Price of Work <br /> Proposed Use of Building Contact Person (Plan Roview) <br /> Description of W oric to Bo Done:�U N N��-j �l��.L-1(�-1�L M�I 1C.r�— "� <br /> '�-=�l�c:..� ��� A-�—��� �� r�—� ^� C7— <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 r7 <br /> 1 here6y certify that I have read and examined fhis applicafion and kno�v fhe semo fo 6e fnre and F� `I l - I�'�` <br /> correct. All provisions o/laws and ordinances govoming fliis type ol work will be completed <br /> whefher specified herein or noL The granting ola pemut does nof�resume fo give authonty to <br /> violafe or cancel fhe provisions ol any other state or local law regulafing consfruction or the <br /> peHomiance o!construcfion. Thaf 1 am authonzed by the owner o/fhis property to perform the <br /> work tor which application is mado and 1 comply wifh fho Stafe Confractors Law 18.27 RCW and <br /> 29G.200 WAC. <br /> ��; � i��l7 / li <br /> Sipnature Dale <br /> e <br />