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�--_--� t <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF E�lERETT PERMIT SERVICES � _ S,_p� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �' U� Cl�' �J I <br /> '�_'�J C> I 2� ` ` � S 1�`F- <br /> PROJECT ADDRESS <br /> /1,� ' ,f <br /> ; -� �:_ <br /> `. IY,�-� T��-r>� �_�'�•7_,— 1?�"� �`� �.�n.\']�.'�., ��.c,.( ; Jr.cll�,v��SM� ��1� l'S7Cli <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City Stale/Z{p Phone <br /> �� <br /> ��..,��� � �...r„ [.. I-���J � <br /> Electrical Conirector Mail Addiess Cily State/Zip Ph.me <br /> <.' i1 N �1 <br /> State License Number Conlracl P��ce of Work <br /> �-l2s '34S'-2� C.0 <br /> � �../-/ Nl_� `r Y �V t � <br /> Froposed Use of Building Conlac!Person (Plan Review) <br /> Description o(Work to Be Done: <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 that I have read and examined fhis app/rcafion and know the same M be true and <br /> correct. All provisions ollaws and ordinances c�ovemmg this fype ol work will be completed <br /> whether speci6ed herein or noL The granting o(a permrt does nof presume fo give au(honty to <br /> violate or cancel(he provisions ol any ofher state or loca�!aw regulating consfructicn or the <br /> perlorm�nce o/construction. That 1 arn autho�ized by the owner o/fh�s property to peAom!he <br /> work�or which application is made and I comply w�th the tafe Contractors Law 7H.27 RCW and <br /> 296.200 WAC. / , . <br /> .� / '/ //i . , <br /> ;' l � ,% ��� � _l� � J �Sl� <br /> gnature - Date <br /> � <br />