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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ���,�� � ��,, . f,�t��.�,' � , - <br /> PROJECT ADORESS <br /> ��r"r�.. y;�,1�. .� . � ��)�...n i�'. I�IJ( � ��✓r�'�li... - �,�_-' !/J; P�� �Syr . <br /> Owner Mail Addross �City Slate2ip Phone l <br /> �> ,,�r <br /> Tenant Mail Addrnss Cily Slale2ip Phone <br /> � � ,(� �� � � <br /> ���t� .�--:I!, 1�� ('i- l� �%I "�ac��':-t'� �,t/�I' �ri-=-��� ������i^'?/' <br /> Eleclrical Conlraclor Mail Address Cily SlaleRip Phone <br /> /-` '?,' -L {",�u�:,,✓ <br /> State License umGer CoNrad Prico ol Work <br /> Proposed Use oi Building Cunlacl Person (Plan Review) <br /> Descriplion ol Work to 6c Done: il:'/•.�. �1•-,��;� : r <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVEP.ETT LOCAL SALES TAX CODE IS 3105 <br /> 1 heieby certil��Ihaf I have read and ex�mined Ihis applicafion and hnow fhe same fo be frue nnd �� �,�-� .. I � � <br /> correcL All provisions oI la�vs and aAinances goveming flus type ol work will be completed � <br /> whefher speaGed herrin or noL The granfing ol a pemut does nof presume fo give aidhonty to <br /> viola(e oi cancel fhe r�rovisions o/any ofher sfate or local la�r regululing consWcGon or fhe <br /> perfomiance ol constnicfion. Tha(I am pufhorized b}�fhe owner o/this property fo peAorm fhe <br /> �vork lor which applicafion is niade and I compty n�ith fhe Slafe Confroctors Latv 18.27 RCL1�end <br /> 296.200 WAC. <br /> �:_i � - -' � , ,;.� <br /> - ----3..--,_ �:.---.'— , . <br /> � SignaWre Uate� <br />