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1 <br /> ELECTRICAL P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � _ ,5,�,�7 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C�`� ��-� �—� �IK' <br /> � <br /> � �J�`� `'i�t � `�! �-- S�k�� <br /> PROJECT ADDRESS <br /> \ n1�� � -7� ' L A �7 <br /> \) i1 J ��c.y�l�Z" •-JC)i 1 c�^'.:\�/:.�.�\ �.� l�V o.rC..� W,\ ( ���.�.� <br /> � <br /> Owner Mail Address City State2lp Phone <br /> Tenanl A1ai1 Address Cil, State�Zip Phone <br /> �i ,�..J�✓��i <br /> Elect�ical Conlreclor tdai!Address City Slate/Zip Phene <br /> State License Number Conlract Price of Work <br /> Proposed Use of Buildinc� � Contacl Person (Plan Review) <br /> � �L <br /> Descriplion of Work lo Oe Done: �� n�>^� i '+i'-v`^r \ n� <br /> ' 'J <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 certily fhat I lrave read and e�•arnined fhis application and know fhe same to be true and <br /> correcL All provisions o�la�vs and ordinances governuig this type ol work will be completed <br /> wlrether speci6en herein or noL The granfing oI a pemut does not presume to,qive aulhodty fo <br /> violale or cancel the�rovisions o/any other state or local law regu/afing construction or the <br /> peiformance o/consfruction. That 1 am authonzed by the owner of fhis property to peAorm the <br /> �vork l�r which application is made and 1 comply�rifh the Sfate Confractors Law 18.27 RCW and <br /> 29G.200 WAC. <br /> ���� �� � <br /> '� � ! �.,� � ' , � �--� <br /> , r� �`� �� i <br /> �S gnaWre � DatA <br /> � � � , `� � <br /> � <br /> i�G r�(� -G - <br />