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ELEGTRICAL PERMIT APPLICATIO►N <br />CITY OF EVERETT PERMIT SERVICES S�rD <br />320U CEDAR STREET, EVERETT, WA 98201 r D" <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org �� <br />A�'PLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� � ^� 6�f� �� <br />l(�% /�(/S <br />PROJECT ADDRESS <br />kJ�/O/O - <br />�,; �� �'��� ���I,JVS'�N 1'C� 1�Ck' I'�G���� MLI�ySU���� dL'�� `�_�,� `�G� <br />Owner Mail Addross City State2ip Phone <br />Tenanl <br />Eleclrical Contraclor <br />Slale License Number <br />� �� f � <br />Proposed Uso of Building <br />�,fail AJJ!uss <br />Mail Address <br />Cily <br />City <br />State/Zip <br />State/Zip <br />Conlracl Price of Work <br />Conlact Porsun (Plan Review) <br />Description of Work lo Be Done: ��� � V � �% � � � � %�il'i"%� " 1 �l j�C' ��' �' � <br />NOTE: \NIRING IN NON-DW [LLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERFTT LOCAL SALES TAX CODE IS 3105 <br />1 heroh}� cmiil}� fhat 1 have read and examined (his application and i�,io�v the same to be Uue and <br />cerrucL All provisions o/laws and erdinanr,es govemmg this tvpo of �rork �vill be complefed <br />irhefher spec�fied he��ein or noL The pranfing of a permd does not presume fo �ive authonly to <br />violate or cancel fho provisions oI any ofher stafe er localla�v regulating construclion orthe <br />periomiance o/ constnicfion. 7'hat 1 am authorized b}� fhe owner ol (his property to perlonn fhe <br />work !or �rhicli applica(ion is,)dade and 1 comply mith tho State Confracfois La�v 18.27 RCW and <br />29G,200 WAC. / <br />y„ , , <br />� � ��� <br />- � �-a <br />, ' : /:� s'%',/ �%/2 ' <br />/c - �" - �:^�� <br />r-eE <br />�-_ �` � �' c c I <br />Phono <br />Phone <br />/ ^ �—, /� ,(� 7�/ <br />\ /L `l,i`-+.' � �'i [�%�(�f�5(;�-' � . _ :f��%-/,�� / iJ)� i,Y..�l��� �� ��� /'�;��t��.r1/�.�SI/�/ <br />