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i <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 <br /> J�y�� o�Jr�� ��r i,J j�'1�� �, <br /> PROJECT ADDRESS ' <br /> <��a�����s (,,cp l�r 3� � y�132 n�c �l i•`�f. - �(�����-�Ir - ����+ RRjlS <br /> OWnef MailAddress City Stale2ip Phone <br /> c�e� �rt�'�5 �� . <br /> Tenan� Mail Address City Slate/Zip Phonx <br /> �v.��-�I�N ����1���������a�� 727 �. Ve������r� �+ ��eC��N� t�l� �BfA� 20� 1b5-i�4N <br /> EI tr al ConUaclo� Mail Address City Slate2ip Phone <br /> .� (/� 1 ZC� 7�'LLcI lSL I L .� r� <br /> State License Number Contract Price of Work <br /> Proposed Use of�uilding Contact Parsor, (plan Review) <br /> /� � _/c � <br /> Description of Work to Be Done: U�t' ��✓ ' "�'� <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 heieby certily(hal I have read and examined Ihis applicalion and know Ihe same to be true and <br /> conect. All provisions o/laws and ordinances governing Ihis type o/work will be completed <br /> whefher specdied herein or noL The granting ol a permd does nof presume to give authonty to <br /> violate or cancel Ine provisions oI any ofher sfate or local law regulafing construcfion or the � <br /> peAormance ol construcfion. Tha(i am au(honzed by the o...�er o/this property to peAorm Ihe /, <br /> work Ior which applicafion is made and I comply with Ihe Slate Contractors Law 18.27 RC W and � �,/� r 1� <br /> 296.2��wA�. I'r I�; <br /> � l,� <br /> ��as//� <br /> Signalure Date -� <br />