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� -- t <br /> t y <br /> ELECTRICAL PERMIT APPLIGATfON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEF'TED <br /> SZv �I� +�S�- SF_ <br /> PROJECT ADDRESS <br /> � 4 � <br /> Owner Mail Address City Slate/Zip Phone <br /> Tenant Mail Addrass City State/Zip Phone <br /> 'l CC6� <br /> he��-� Nl.t�e� �z�ec �19Z.9 � �n�na��e.� Dr �ee�a,�c� �e 9 �i ZV S 92 9• zzz9 <br /> Electncal Contractor Mail Address Ciry StatelZip Phone <br /> KC VtNNnP q �l � ^� �I . <br /> State License Number Contract Price of Work � <br /> �S� �-f.n'�-� o� � V�01�.�P <br /> Proposed Use of Building Contact Nerson (Plan Review) <br /> Descriptian of Work:o Be Done: /'Y�� �.� �� �� � � Z o o ,} n �t�v co t �- /�� �� � �� �, )p� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABIE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that/have read and examined this application and know the same to be true and <br /> correct. AN provisions of/aws and ordinances governrng this type of wo�k�vill be completed <br /> wnether speci(ied herein or not. The granting o/a permrt does not presume to give authonty to <br /> violate or cance!the provisions o/any other sfafe or local law regulating construct:on or the <br /> performance of construchon. 7hat I am aufhorized by the owner of this property to peAorm the <br /> work tor�.vhich application is made and 1 comply wifh the Sfate Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � ��' T�! � O '7 <br /> nawre ` Date <br /> �o �/// - / �// <br />