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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT' PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8E10 - FAX 425-257-8857–www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> — ' J� <br /> _� � � � t/V C ' l, Ji <br /> PROJECT ADDRE S /,)��� <br /> v� <br /> .� P�ti�1 r,c ���� I� r� � � � �c�GG�� W l4�/ �I �'D j ��PR��"—f <br /> Owner ail Address Ciry � State/Zip Phone <br /> �f� �,� y�(-dyG� <br /> Tenant A1ail Address Cily State/Zip Phone <br /> Electrical Conlractor Mail Address City State/Zip Nhone <br /> State License Number Contract Price of Work <br /> ,5 � � � ���B�� rtvN� <br /> Proposed Use of Buildinc� Conlact Person (Plan Review) <br /> f i <br /> Description of Work to Be Done: ��(?IN ��� �v� l YV/l � ( � �� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �EE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereGy certily flial 1 have read and exarnined this applicafion and knnw fhe same to be fn�e and <br /> correcf. All provisions ol laws and ordinances e�ovemmg tb�s type ol work will be completed <br /> whefher specibed herein or noL The granfing ol a pennd does nof presurne fo give authonty fo <br /> violate or cuncel 1he provisions ol any olher sfafe or local law regu/afing consfruchon or the <br /> perlonnance ol cons�ruction. That 1 am aufhorized 6y fhe owner o/fhrs prope�ty to perlonn Oie <br /> I work lor which applicafion is made and i comply with the State Conf�acfcrs Law f0.27 RCW and <br /> 296.200 4YAC. <br /> ��' �'•, L)r,��•�(1.�� /G' �,�.�� 7 <br /> SignaWre {—G ale �— <br /> Fc�� < < -�z5 <br />. <br />� <br />