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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 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> .% / �� �r� � �� <br /> PROJECT ADDRESS <br /> V G lZ �� %.5/-e t/` -��r`.� � <br /> Owner M11ml Address City S�atelZip Phone <br /> Tenanl 1.1ai1 Address City State/Zip Phone <br /> _ /-� D F S-z �� �; C.�s <br /> EI ctncal Conlreclor Mail Address City Stale/Zip Phone <br /> Slate License Nurc�ber Conlracl Price of Work <br /> i <br /> �ii� d���' lL;�//� <br /> Proposed sc of Building r Contacl Person (Plan Review) <br /> Descriplion ol Work lo De Dona / '/� "" �� - / � / � %!!� -� / � /' -� � j`'Z <br /> I� � �G �� n <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALcS TAX CODE IS 3105 <br /> 1 hweby ceilil}�fhaf 1 have reaAanA exarnined fhis applicafion nnd know the sarne to be vue and <br /> correr,L All provisions o!laws and or�linances�overning fhis type oI work�vill be completed <br /> whether spca6cd herein or not The g�anfinc�ol a pennd Aoes nof resurne!o give aufhonty fo <br /> ��iolafe or cancel fhe provisions o/any other state or Iecal le�w reguPfin�construction or Ihe <br /> peilonnance o(conslrucfion. That 1 ant authonzed by the o:rne�o/this property to perlomi fhe /��� <br /> work lor�vhich applicafion is made and 1 comply wifh the State Confraclors Law 7827 RCW and <br /> 29G.200 I,NAC. ; <br /> ,_- ` � %� � �''-"'��,-:t� ;G --?y �G / �� � �j. <br /> 1�. G <br /> ,�:�_ � <br /> . $ICI18h/lu '� ���C <br />