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� <br /> Et.ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �� }� _,; <br /> 3200 CEDAR STRCcT, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org C � �� L� ..J !� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �%� �.� z� �� ,5� �c�����'� 1,�J� ��',ti��' <br /> PROJECT ADDRESS <br /> CYi����-oC2�>b (�,��%z;.�%�1� ui�jr���'DR.��=�v��G"T'�v�i3 ��� D �' <br /> Owne� Mail Address Ciry Stai�iZip Phona <br /> Tenant Mail Address Cily Slate/Zip Phone <br /> C� <br /> EleCtrical Conlractor Mail Address Cily Slale/Zip Phune <br /> Slate License NumSer Contrect Price of Work <br /> i'1✓L d !,�_ — - <br /> Pro , sed Use'of Building Conlact F=rson (Plan Review) <br /> .�' �f / <br /> Descriptio�of Work lo Be Done: ^ L � ,��f(' �/�Sf/n� J�f/��� ��-�!���� l '�� <br /> �i"%fi/`�"L' <br /> NOTE: WIRING IIJ NON-DWELLINGS IS RECtUIREU TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cerfi(y fhat I have read and examined this appfication and know fhe same to bo true and l <br /> correcL AI!provisions of laws and ordinances gcverning this type o(work wi116e complefed �I( G) L`�( �C� <br /> whefher specified herein or nof. The granting o/a permd does not presume to give authonty to � <br /> violate or cancel the provisions o!any other state or local law regulating construction or the <br /> perlormance of construction. That 1 am authonzed by fhe owner of this property to peAorm the <br /> work for which application is made and I compty with fhe State Conhactors Law 18.27 RC W and <br /> 296.200 WAC. <br /> �� �17���� �`�,�,� �.��1,�- <br /> �� aWre Date <br /> / <br />