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—� <br /> ELECTRICAL PERMIT 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 - DEBR&CREDR CARDS ARE NOT ACCEPTED <br /> ��U3 y��h �°� s� <br /> PROJECT ADDRESS <br /> �tt �°Y %�O/_$ 97C ,+�v�.�rl C�i/� Sd'y- <br /> Owner �— Mai!Address City SlateZp Phone <br /> Tenant Mail Address Clty StatefLlp Phone <br /> �rJTPS){CJ.>o� �'�P�.�y.` <br /> Electrical ConUactor Mail Aedress Ciry Sfate/ZIp Phone <br /> ���'�Jt�=f=,�a7`/� <br /> State License Number Contract Price of Work <br /> S.-2 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: /`1 ��' ���:1�c�+"�� -�' <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 certi(y that 1 have read and examined this application and know the same to be true and <br /> cor�ect. All provisions of laws and ordinances goveming this type o/work will be completed <br /> whether speci�ed herein or nof. The granting ol a permd does not presume to give aufhority to <br /> violate or cance/the provisions o(any other state or local law regulating consVucNon or the <br /> performance of construction. That 1 am authorized by the owner of this property to pertorm the <br /> work for which application is made and I comply with the State Conhacfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> C�/,r�G� ��..-�>-�z` �—.�� -Q...S — <br /> Signature Date <br /> �c�s� 3 �- � �3 <br />