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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �f..-�--05 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org C�n0� `I� , / <br /> b `-r <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �/�i�/ (,�zc�►�[�, <br /> PROJECT ADDRESS <br /> U Z 1� <br /> /a , � � ' ,�-� 7vY �✓ l ,�i' r� ,f� � � 2 S'a ��3 v <br /> n��ic�i� !!I" �✓�� k «u� �, ✓P L✓f✓P71" L✓,u 7.�2 <br /> Ovmer MailAddress City Stale/Zip Pho�e <br /> Tenant MailAddress Ciry Stale2ip Phone <br /> ��. <br /> .� <br /> ��vr� �r <br /> ElectncalConUador MailAddress City 3laleZp Phone <br /> State License Number Contract Price of Wodc <br /> Proposed Use of�uildmg Contad Person (Plan Review) <br /> Description of Work to Be Done: J �/`7� /H�� a'�`� % C(1,p�— �!l�l [ I <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEF <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 / C/ r-�I ' <br /> 1 hereby�certily fhaf I hava iead and examrneAthis appbcafion and know fhe same fo bo frue and C V�j�L�- � r�'I <br /> oorrecf. All provrs�ons o!laws and ordmances goveming Ihis(ype ol work will tre comple�ted <br /> whefher specdied ho,vin or noL 'ho granhng ol a permrt does nof presumo fo give autbonty fo <br /> violate or canc�l fho pmws�ons of any oBier sfafe or local law ieguraNng oonsfructron or the <br /> peAornrance ol construc6oa Tbal I am aufho�ized Ay fhe owner ol fbis property fo perlorm fhe <br /> wnrk!or whrch applrcahon i ado and I cnmply wRh the Sfafe Confractors Law 18.27 RCW and <br /> 296 200 WA�. � <br /> �'��i` - � y U � <br /> � Signal e ate <br />