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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 5 ��1-� /O <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org ��p�s-D�7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> i_ . <br /> �:�- ✓,�,✓. �i' � ,��✓! ✓�' <br /> PROJECT ADDRESS <br /> jc-=�l�>' ; )C',-�e-S lri�,'� a1�L _ .., �;.%c�-�t�%? :�--f�- J�'�d5� _ <br /> Owner Mail Address Cily State/Zip Phone <br /> Tenani Mail Address Cily Stale/Zip Phone <br /> ElectricalContractor MailAddress Ciry Slate/Zlp Phon= <br /> State Licenso Number Cor,tract Price of Work <br /> Proposed Use ot Building Conlacl Person (Plan Review) <br /> � 7 <br /> Description of Work fo Be Done: ���J��� - f�/�'"'•'-✓ r�'�c F <br /> . <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CARL[. <br /> J <br /> CITY OF EVERETI LnCAL SAI.ES TAX CODE IS 3105 <br /> I hereby certily fhaf I havo read and exarnined this application and know the same fo 6e Wo and �C,.U4. , <br /> correcL AIf provislons olla�vs and oniinances goveming thls fype ol work will 6e complefed �..` U / <br /> trhetherspecilied herein ornot The granting o(a permif doos not presume to glve aufhonty to <br /> violaleorcanceltho provisionsolanyofhersfafeorlocallawregulatingconstructionorfhe <br /> pedormanco o(consiruction. Thot 1 am authorized by the owner o/this property fo peAomi the <br /> work lor which application is rnado and I cornply i+�ilh fhe Sfate Confractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> i i � <br /> , . � <br /> . •� %i���. <br /> r . <br /> Signature - Date -� <br />