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/ <br /> . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SFRVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-6857 —wvwv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I C� 15 I �l`�h /-��E�. J�c, # � I C� _ <br /> FROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> J1f�D��eC,Y1��'ql+a � � D3�5 � ���1-�V� ��G� �\D �:�fi',Va-l�' bUf1 q�l1� <br /> Tenant Mail Ad ress City Stale/Zip Phone <br /> �l �l�(;��1 Ln1 �IP ��1v-, 1R1��113'�,''�' /�VQ N�C � 3 �.�� Il����tc� 1�U� �8D05 <br /> leclrical Contrector Mail nddress City � State/"Lip Phone <br /> f����A-N C,� or�� m�1 � �. J� <br /> State License Number Contra t Price of Work <br /> � .i�� i� [=�i c� �. '��►� <br /> Proposed Use of Bullding Conls-�Person (Plan Review) <br /> Description of Work lo Be Done: L�lJ, VU� I G( (.�{? LCI�l �. <br /> NOTE: �VIRING 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 liereby certily that I have read and examined fhis application and know the same fo be true and <br /> correcf. All provisions o/la�vs and ordinances goveming this type o/work will6e complet?d <br /> whefher speci6ed herein or noL The granfing of a permd does not presume to give authonty to <br /> violafe or cancel flie provisions ol any other sfate or local law regulating consfruction or the , <br /> per/ormance ol consVuc6on. That 1 am authonzed by the owner of Ihis�ropedy to peAorm the <br /> work/or which application is made and 1 comply with the Stafe ConVactors Law 18.27 RCW and <br /> 296.200 l�'A C. <br /> � ��� � = ,/ �/� ��� <br /> .' Signatu e � Date <br /> '-. �- <br />