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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 b AM TO 4 PM -DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> ��� 2� � x��� F.�� <br /> PROJECT ADDR S <br /> 6C.o�2�C s��1�����Atin� �� 2� e, ��, � �J�� -, :c�tr I�� <br /> Owner Mail Address City State ip Phone <br /> �����.�, � Z� - 35�-�6s '�b��o�.� 6102 _ <br /> Tenant Mail Address City State/Zip Phone <br /> ��f <br /> Eleclrical Conlraclor Mail Address City State2ip Phone <br /> State License Number Contract Pdce of Work <br /> i`2C C� ,�JCI�� <br /> Proposed Use ot Bui ing Conlacl Pereon (Plan Review) <br /> Description of Work to Be Done: ��1'�-��-C ��! �0�-� �l(`�/1 . ��NSI�� ��G j— <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y certily that 1 have read and examineA fhis application and know fhe same to be true and <br /> correcL All provisions o(laws and ordinances govemmg thls type olwork will be c:.mpleted <br /> whether speci�ed herein or noL The gr nting o/a permd does not presume to give authonty fo <br /> violafe or cancel Uie provisions ol any ther state or local law regulating consfruction or the <br /> ; peAomiance o/constr�cfion. Th 1 i aufhorized by fhe owner of fhis property to per/orm the <br /> work lor which applicafion is ma e d 1 comply with the Stafe Contractors Law 18.27 RCW end <br /> 296.200 W,AC. <br /> %/ <br /> G i � �/� ` � �� <br /> / ignaWr ,� Date <br /> ���� s <br />