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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 -�vww.everettwa.org <br /> APPLICATIONS ARE ACCEPT[D FROM 8 AM TO 4 PM <br /> y � V t/%/ i��� ln/.� �� �- /����_ <br /> PROJECT AODRESS <br /> M�,F� I ���"� w� ll ui�r� <br /> Jwner Mad AdOress City StatelZip Phone <br /> Tenant Mail Adtlress City S�ate/Zip Phone <br /> ,�/� � 9`'orleya �leci�,c ��31 3�STaccse �Ue�ze�r «a 9�'�' <br /> EleclricalCon�rador � MailAddress Ciry SlatelZip Phone <br /> 4l l�l�a o � `�6 2��6 /U� C;' <br /> State License Number Contract Price of Work <br /> l�P ,;De�tC� _ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descrip�ion of Work lo Be Done: �� �� L � � �u � � � rG�� ���� �������1� ����� ��� <br /> NOTE: WIRING IN NON-DWELI.INGS 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 cr,rtily that 1 have read and examined fhis application and know the same fo Ge ln�e and ���� I� � ��'' ) <br /> correct. All provisons ollaws and ordinances govemin�this type ol work will be completed <br /> whether speci�ed herein or nof. The granting oI a permd does not presurne to give aufhonty to <br /> violate or cancel fhe provisions ol any olher state or local law regula�ting constniction or fhe <br /> pedomiance o/consWcfion. That I ant authonzed by the owner o/tlus property to pedomi the <br /> worN lor which application is made and 1 comply wilb the Sfafe Confractors Lmv 18.27 RCW and <br /> 296200 WAC. <br /> / � <br /> � �, -- , � � t ,�,� <br /> i /7 � f�'I� <br /> Signature Dale <br />