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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32U0 CEDAR STREET, [VERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PfJI <br /> �IC� 4 � '4 5� Scti � <br /> PROJECT ADDRESS <br /> 1F <br /> Owne�� < < �i� � ll l(l lvG 5I- Sw , �r��rP�, yY � ��S� � <br /> Mail Address Ciry State2ip Phone <br /> i IL <br /> Tenanl Mail Address Cily Slale2ip Phone <br /> !f[' �r �/C-C� �7� ��P�'-//�/ � ' �l/L' �1%1<'� ��. �'CJ S�C�,��. 7�'i c� <br /> � StafelZi Phone <br /> E ectrical Contraclor Maii Address City P <br /> State License humber Contracl Price of Work <br /> l�7 L ' <br /> Proposed Use of Building Contacl Person (Plan fteview) <br /> Description o(Work to Be Done: ' �-� " �C��C'"P � <br /> NOTE: WIRING IN NON-DWF.LLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAI_SALES TAX CODE IS 3105 <br /> 1 hereby certily Ihat I have read and examined this applicafion and kno�v fhe same to be frue and <br /> conecL All provisions ol laws and ordinances goveming this type o/work will be completed <br /> whether specdied herein or noL The granfinc�o(a permd does not presume to give authonty fo <br /> violafe or cancel the provisions nI any other state or local law regulating construction or the �� <br /> perlorrnance of consfruc6on. That I am autho�ized 6y the owner ol this property to peAorm the � <br /> �vork lor�vhich application is rnade and 1 comply with the Slate Contraclo s Law 18.27 RCW and � � <br />� 296.200 WAC. � ���/' <br /> i / <br /> s �j <br /> _ , <br /> �-- -�,__ /�;'�U G/ <br /> .. Si9naturc- --� — � _ .. . . . ��P <br />