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� � <br /> ELECTRlCAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , �� �'�w �iC�Gc J� <br /> PROJECT ADDRESS <br /> ONmer Mail Address Ci1y Slale/Zip Phone <br /> Tenant Mail Address City State2ip �hone <br /> 1�-It��e E��rf�c�►.(N.�c�, I�c. �0`�?5 9''`PLf� �tike.I�Fvc'ns �,1�4- _ 9�U� U t39 •d61J <br /> Eleclrical Conlractor M11ail Atldress Ciry SlalelZip Phone <br /> I N►-IUUEl`�5 ZQ6 <br /> Stale License Number Contracl Price of Wodc <br /> li/1G�P �rn/r1i�y �fJ <br /> Propo d Use of Bui � g Contact Person (Plan Review) <br /> Description of Wark to Be Done: ICPGJ ��' LVW �� ` }• �0���' �v�������'1 h�G� 9 '""e <br /> ,�_, _ <br /> ��2�� l..�I I � /�CMGI I� • <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 certity Ihal I have read and examined this applica(ion and know the same(o be Irue and <br /> correct. All provisions ollaws and ordinances governinq this type o/�vork�rill be complefed <br /> whelher spec�hed herein or no[ The granting o(a permrt does notp resume fo give authanty to <br /> violate or cancel the provisions ol any other state or local law regulating construchon or tF,e <br /> pedormance of construction. That 1 arn authonzed by fhe owner o/this property(o perfomi fhe <br /> u�ork/or which application is made and 1 compty�+��th'he Stale Contractors Ww 7827 RCW and <br /> 296.200 WAC. <br /> /fT� �Z Z O�_-- <br /> - S�gnature Da� r <br /> �., v��o5 i�y <br />