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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—wuvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> S�o I 2_3;� �� w q �2 �y <br /> PROJECT ADDRESS <br /> ✓Cca'v.h�.:l \o��. L..UI_ ��_ �1-1�2 Ul f'll J� .JC'a��� �l`�/'1 /�Ch�� J <br /> OWnef MailAddress City SlatelZip Phone <br /> �-�,.�•.e <br /> Tenant Mail Address City SlatelZip Phone <br /> L�'�'`IfGP� �i�%jCi�..�'iCn ��� S� �Yri��-� Se.-���-C Wf� C�� �Uj�' io(,�763 17�1 <br /> ElectriCal CoNfaCtof Mail Atldress Ciry State/Zip Phone <br /> C�lF_ ,� � r2L � lS� �i� <br /> State License Number Contract Price of Work <br /> C��v��.�.; � , �.,� �.�:��_ �-.��1��, 14 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done� �^`�� ��-�, �� ' L •���{!'�- c ;��. �S <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES"fAX CODE IS 3105 <br /> 1 hereby certily fhat 1 have read and examined fhis application and know the sama to bo true and <br /> conect. All Frovisions ollaws and ordinances govemmg this type oI work will be completed <br /> whether specilied herein or not The granfing ot a pemiR doQs not presume to give authonty to <br /> violafe or cancel the provisions ol any other slate or local law regulafing constnichon or fhe <br /> pe�formance ol construchon. That I am aut6onzod by!he owner of this property to peAorm(he <br /> �vork lo��vhich applicafion is� adeand I comply wifh fhe Sfate Contractors Law 18.27 RCW and <br /> 296.200 WAC / <br /> � / � f/ . 2 �- . c� q (�J�� - �� � <br /> SiqR Dale I <br />