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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.everetriva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBR 8 CREDIT CARDS ARE NOT ACCEPTED <br /> � ��� �-�/��_ <br /> PROJECT ADDRESS <br /> f �U�� ��/.�.�„�a �,,�� ��d �f.�� <br /> e� M Address City Slate2ip P�one <br /> Tenant Mail AECress City State/Zip Phone <br /> 7/1' .� r�,0�.��, liq��{ y , /uo ,�/ �,va,7� N1s�!lS'-7sY_/ <br /> �Iectricai Conlractor Mail Address Ciry SWtelLip Phona <br /> �,f�ES�'S,E r�(ob SL �/SOb <br /> State License Number ontract Price of Work <br /> ��� — <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriptian of Work ta Be Done: ��,,z /1 �l Onwr�p � pp�A11 �/?� <br /> . <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 � I <br /> I hereby certily thaf I have read and examined this applicafion and know the same to be true and � <br /> correct. All provisions o//aws and ordinances governmg this type ol work will be complefed <br /> whefher speci/ied herein or not The granfing o/a permd does not presume to give authonty to <br /> violate or cancel the provisions oI any other state or local law regu/ating consfrucfion or the <br /> performance ol construchon. That I am authonzed by the owner o/thi_property to peAorm the <br /> work Ior which application is made and I comply with fhe Sfate Contractors Law 14.27 RCW and <br /> 2 6.200 WAC. <br /> / <br /> � — —� <br /> Signalur Date <br /> ���l07-�94 <br />