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�,;<�- <br /> I' . <br />; ' � <br /> ELECTRICAL PERMII� APPLICATiON <br /> CITY OF EVERETT PERMIT SERVICES <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 /> —�,l% �� `� �7/�J I � c l-�LC�LI,/ Gf�1// I <br /> PROJECT ADDRESS <br /> �� i���r��V1�r��--l� L � �- ���� ��71�11,��<����� ���,.�tY� x�,�- ��Zc2� � <br /> Owner Mail Address City State2ip Phone <br /> Tenant Mall Address � Ciry Stale2ip Phone �I <br /> / � S <br /> , � 1_ il �fT'7lLlGLL'��c�P�i'�ui—C-LcE����G''!' L��G'—� <br /> ---r— � <br /> �eClric �Conlractor Mail Address � City . State/Zip Phone <br /> / <br /> Stale License Number Conlrecl Price of Work <br /> �-- � � �r��1�� . <br /> ��� ;� <br /> Praposed U� of'Building Contacl Person (Plan Review) <br /> Description of Work to Be Done: /���%���� �L�'�� r� L� <br />+� NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> 4 CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � I Bereby cer(ily that 1 have read and examined Ihis application and know the same to be true and <br /> conecL All provisions o(la�vs and ordin�nces�overnmg this type oI work will be completed <br /> whetherspealied herein ornoL The granting o(a pernut does not resume to give authority to <br /> violafe or car,cel the r�rovisions olany other sfafe or local law reguPting construc(ion or the <br /> performance ol construction. That 1 am aufhorized by the owner o(Ihis property to perform the <br /> work(or which application is made and I comp/y with fhe Sfate Confractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �. � � 7 � <br /> � � -' - :�r � �L � .�• f �; <br /> � � � <br /> / Sigrtature/ �—� Uat <br /> � '� C'l� C'1-G�z <br />