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{ —.— <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 (� _� --0� <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org O 6—��� <br /> C=�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM 'i O 4 PM <br /> ����1/� G � f-� �/ l til <br /> PROJECT ADDRESS <br /> ! <br /> '�, J <br /> Owner Mail Address City Slate/Zip Phone <br /> Tenant Mail Address City S�at?/Zip Phone <br /> O�I.�C%/1 i <br /> Electrical Coniraclor Mail Address Ciry State/Zip Phone <br /> State License Number Conlract Price of Work <br /> Proposeti Use of Building Contacl Person (Plan Review) <br /> Description o(Work lo De Done� � �� -t�n� // ���/����v — <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> ���, <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriily that I have read and examined this app6cation and krow the same to be true and <br /> coriect. All provisions ollaws and ordinances govemu:g this type o/work will be complefed <br /> whefher specdied herein or not. The granting oI a permd does nof resume to give authonty to <br /> violafe or cancel thc provisions olany other sfate or local law reguPtinp construcho,a or the <br /> peAomiance oI construchon. That(am aufhorized�y the owner oI this property to F•erform tha <br /> work!or which application is made and I comp/y with the Sfate Contractors Law 18.e7 RCW and <br /> 296.200 WAC. <br /> � <br /> \ �,/�J��!:��' ;C� � � ; ' �_cr � .'- � . '�--! O d� <br /> � �/ <br /> Signature'_ '�,'� Date � /� y���� <br /> 1, L (� <br />