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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.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��O ���J(YY 1��1� <br /> PROJECT ADDRES� <br /> 6� U�,�,pQ,r,�l os�,, r95i5 c�6+'�r�� t�i,lk� �,�.qe�"� qas-�- a�. <br /> Owner Mail Address City State2ip Phone <br /> � <br /> Tenant Mail Address City State/Zip Phone <br /> ��.��., E1�ct��c�1 Cp uL �O�ac�-fo ���I1 �;�a �►'020, �s -339-a� ( <br /> Electrical Conlractor Mail Address Ciry State/Zip Phone <br /> �aS5eG9�'7�Er' <br /> State License Number Contrect Price of Work <br /> �SPSyC�9t.Y Sv <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description of Work to Be Done: �Q(��� o�Qn�t.�(�fY��T�� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TA7C CODE IS 3105 1— <br /> 1 hereby cerlily thaf I have read and examined fhis application and know the same to be tnie and v���� � 3r� <br /> correct. All provisions o/laws and ordinances govemmg Ihis fype ol work will be complefed <br /> whether specdied herein or not The granting o/a pemut does not presume to give authonty to <br /> violafe or cancel fhe provislons of any olher state or local law reguleting construction or tho <br /> peAormance o/construcfion. That I am aufhorized 6y the owner o/this property fo perform fhe <br /> work/or which application is made and i comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> --Q �� `� �-zc�--�a <br /> �� ignawre Date <br />