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r <br /> ELECTRICAL PERiVIIT APPLICATION <br /> CITY OF EVERETT PERMIT S�RVICES <br /> 3200 CEDAR STRE=.�T, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425 257-8857-www.everettwa.org <br /> APPLICATlONS ARE ACCEPTED FROM 8 AM TO 4 PNi <br /> ���o �stw y� . ����ff � g��J <br /> PROJECT ADDRESS <br /> � <br /> �+( �C f7l E`-l �.d�- �/� d-C G�% ; ����J <br /> Owner Mail Address City Slatel'Lip Phone <br /> I <br /> f T i �`TD � /2. S,e�-- ���e -- <br /> Tenant Mail Address City State/Zip Phona <br /> , -f7� <br /> '.� /�(" /�c�' i"�/C� �1l=7c'i7% (� �/.� ICZ/' 7�7Y•li✓l <br /> �,�:'-,.7�, �Tf-= (_:/:=�'7It'�� - <br /> Eleclrical Conlrar(pr Mail Address City Slale/Zip Phone <br /> , ^� , �/ 9a� 6 � <br /> Stale License Number LL Conhact Price of Work <br /> Propc;ed Use of Building Contact Person (Plan Review) <br /> i <br /> Desaiption of Work lo �c Done: L �C -G�i�/�'(-r �+(`7ti'T`T-1i <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE 1 <br /> BE IN RACEWAYS, MC ORAC CABLE. y� �/> �--� <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> i heieby certily thal 1 have read and examined Ihis ap/�lication and know the same fo be true and <br /> correcL All provisions of la�vs and ordinances governm�this type o(work�vill be completed <br /> �;hetherspeafied herein or not The granting o(a permit does not resume to give authorify to <br /> violate or cancel the�rovisions of any ofher stato orlocal law reguPting construchon or fhe <br /> performance o(consfrucfion. Thaf I am authorized by the owner o(fhis property to pedorm tf:e <br /> �vork!or�vhich application is made and 1 compty tvifh the Sfate Confractors Law iQ.27 RCW and � n �/� <br /> 2�fi 20U WAC. , �; _ (J ' <br /> l � � <br /> / 'J� <br /> � ��:� -- `' 2 <br /> � �'. ��,� / ' I <br /> Signature Da <br /> �1 <br />