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ELECTRICAL P�4�MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ���.��._�o <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � I <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org �/Q I1 -� di <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �;��-i����- <br /> PROJECT ADDRESS <br /> 1�G�u r S <br /> O�Yncr h"all Address City Slate2ip Phone <br /> Tenanl Mail Address City Stale/Zip Phone <br /> ��a,,�:-�-- <br /> C-IeclriCal COnlfBClor A1ai1 Addmss City State/Zip Phone <br /> Slale License Number Conlract Price o(Work <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> Descriplion of Work lo Oo Done: �'�`�-'"� �/1�'�' it! -/ <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 <br /> I hereby certify fhaf I have rend nnd examined fhis appficafion and hno�v fhc sante fo be 6ue and <br /> conect All pro�-isions o�la�vs and ordinances governm�fhis fype o(�rork nill Ge camplefed <br /> n�hether specJicd herein ornoL The grcnfing o/a pernut does not'�resume to give authonty to <br /> violate or cancel the provisions ol any olher state orlocalla�v regu ating consfrucfwn or fhn <br /> performance o(construcfion. TOaf 1 am authorized by the c�vner ollhis Nroperty to pedomt fhe <br /> �rork lor�vhich applicafion is rnade anA 1 comply�ti'ifl�fhe State Centracfors La�v 18.2i RCW and <br /> 296.200 WAC. <br /> — Ua�e � lI v�/ <br /> Sinnaturc I <br />