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�� <br /> E�LECTRICAL Pi_RMIT 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 Phi - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> �/S - 5' 7 �� �/ �S� <br /> PROJECT ADDRESS <br /> 1�I� V,L C N�n bZL 1-1 <br /> Owner Mail Address City � State/Zip Phone <br /> Tenant Mail Address City Stats/Zip Phone <br /> N1�� f N� 1=�-�l-1 1°21 L C� It�1 L. <br /> EleCtrical Contractor � Mail Address City Slate/Zip Phone <br /> M< l71 N Ecoo3t.13 <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Wark to Be Done: 1i.1 i Jt�= �l=W L.1�-�Z)��� <br /> NOTE: WIRING IN NON-DWELLINGS IS REC�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � �� 00 <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceRify that I have�ead and examined this application and hnow the same fo�e true and <br /> c.�rrect. All provisions o/laws and ordinances govemmg ihis type o/wak �vill6e cocipleted <br /> whether specdied herein or noL The granting of a permrt does nof presume fo give authonty to <br /> violate or cancel the provisions ot any other state or local law regulating construcLvn or the <br /> peAormance of construchon. That 1 am authorized by the owner o/th�s property to peAorm the <br /> werk for:vhich appfication is made and 1 comp/y wifh the State Contractors Law'8.27 RCW and <br /> 296.200 WAC. <br /> /�� � / • z (�- US <br /> Signawre Date <br /> � <br /> ,EGSoI -s z�C <br />