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� <br /> � , <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /03 / � <br /> /�� �� / � R /�� <br /> -�`� -/� -� ��� ��-L- � I/V!LO.ti,(�•- J <br /> PROJECT ADDRESS <br /> � � <br /> �r A�,FG,�cN; �:tti���:�c,v — <br /> OWnef MailAddress City Stale2ip Phone <br /> Tenanl MailAddress City StatelZip Phone <br /> ���,� A�r j� F��'�� �0 . 6��� ���/�e,��,��� �J� �c;�.� -a��s� <br /> EledricalContrador fAailAddress City State2ip Pho e <br /> 3��Z� `�Z�: <br /> ��-D����:�3o�L9 '7" � ,z. <br /> State L'icense Number Contrad Price of Work <br /> �/�l�S �Gcr� <br /> Proposed Use of Building Contaci Person (Plan Review) <br /> Descriplion of Work to Be Done: ��� f � �Ji4C� <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAl(CODE IS 3106 <br /> 1 hereby certily that 1 have read and examined Ihis application and know fhe same fo be true and <br /> crormcf. Al/prov�sions o/laws and ordinances goveming fhis type o(work will be complefed <br /> whefher speci(ed herein or not. The granting o(a permit does not prasume fo give authonty fo <br /> violafe or cancel the provisions olany other sfate orlocal law ragulating cons(rucfion or the <br /> performance o/construc(ion. That 1 am autnorized by fhe ownero/this property to per(orm the <br /> work lor whichagplicafion is m e and I comply with fhe Slate Contracfors Law 18.27 RCW and <br /> 296.200 - . . . <br /> / � �� - � <br /> S� � <br /> �/ SlgnaturQi - p ���� <br /> � / �Ii � <br /> ti U <br />