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( i. <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.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> 1�E� ,�� � ���lZ 5� . � Vt��r//�f, �71�. ��� <br /> PROJECT ADDRESS <br /> � �1��� ����, � �.o,� sc �✓r�� ;,��/� - �SS�� � ya3�3-8� � <br /> �� <br /> Owner Mail Address City SWte21p Phone <br /> Sa,N��= /�-S A��J � <br /> Tenant Mail Address Ciry Stato2ip Phone <br /> i <br /> �� �..) G. <br /> Electrical Contrector Mail Address Clty State/Zip Phone <br /> State License Number Contract Price oi Work <br /> Proposed Use of Buildino Contact Person (Plan Revie:H) <br /> DescriptionafWorktoBeDone: ��li���-� ��t�-+�/ /j �/� /,��� k ��"��1�/�'� ��fl-�j�G ',� <br /> �"�c��-�C ou%c-� `��6,u� A-�v�� ��ci� � � -- <br /> C'0 2r_�,U �,�z(Zp�,,t,���� Itr/ �- n� i.�C� �P�.e� �v� /�-�/� �-���l-f- <br /> ro ���� i�l�G C���u �� �� <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLc. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 here6y ceAily that I have read and examined fhis aoplication and know the same to be We and <br /> correct. All provisions ol laws and ordinances goveming fh�s type of work will 6e completed <br /> whefher speci6ed herein or not. The granting o/a p�rmd does nof presume to give authonty to <br /> violate or cancel the provisions olany olher state orlocal law regu/ating construction or the <br /> peAormance o/construcfion. Thaf 1 am aufhorized L y the owner o/this property to perform the <br /> work lor which applicafinn is made and 1 comply wifh the Stafe Contractors Law 18.27 RCW and <br /> 296.200 WAQ. � _ , <br /> � � i <br /> � � ' � <br /> �� ; ;� � 3 -,�s -� s <br /> ,��. ; <br /> ign�Wre� ' Date <br /> �05o3-��I <br />