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-,:.�:;:, <br />,���:'' � — <br /> `' '` �" EL�C1'RICAL �ERMIT �PPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320Q CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.evereltwa.org <br /> APPLiCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />.� t�:�������7 `�a � �16�" �+ s.� . <br /> � � �5 PROJECT A�DRESS <br />''.,U:�;,' . <br />''�«': '� <br /> a <br />�; � _ � � � D Qa�� C��.k. <br /> OWne� MailAddress City State/Zip Phone <br /> Tenant Mail Address Ciry State/Zip Phone <br /> �f1eoih Q� , ��Cr E�2c. �`� ��� �� oer r�n _�ru.�and 4�Z�'� _ <br /> Efrctrical Contractor Mail Address Ci1y State/Zip Phone <br /> C U 1✓1 ���I//� I <br /> State License Number ConUact Price of Work <br /> �P '�r) �0 <br /> Proposed Use o(6uildinc�r Centact Person (Plan Review) <br /> �} � <br /> Descriplion o(Work to Be Done: _ 1�_�'p I,Q <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 <br /> � I hereby certily that 1 have read and examined(his npplicafion and know fhe same to be Vue and <br /> correct. All provisions of laws and ordinances govenung this type o(work will be completed <br /> whetherspeci6ed he�ein ornoL The granting o/a pemut does not resume to give authonty to <br /> � vio/ate or caucel the provisions oI any other sfate or local law reguPting construction or�he <br /> oeAormance o/construc6on. That 1 am aufhorized 6y the ownei o/th�s property to perlorm the <br /> ivork lor which application is made and 1 comply with fhe State Confractors La�v 18.27 RCW and <br /> 296.200 WAC. <br /> l� '�S • v� <br /> �naWre Date — <br /> C.S�c�— /� � <br />