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- <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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> 1/��9 /9�hAv�Y ;�r. <br /> PROJECT ADDRESS <br /> �w1,�L'"_' . �V. �'p D5� �" ciml� . 9 � Y <br /> Owner Mail Address City � State/Zip Phone <br /> fIIJIG�XJL..4�v FUDD � S/�7 J FGr � �'� <br /> Tenant Mail Address Ciry State/Zip Phone <br /> OLY/hOii Mc��l S/vC. Zl7/.P GL+4�1 Vr r../. .;.07� A���:rn'iuiK�%cP�EAu.�,/�.q 5Ay't3 5-�7�,FY�/l <br /> EleCtnca�ContraclOr Mail Address City State2ip Phone <br /> r� � i�n1/'/nroo�D �a '��s-.� <br /> State License N mb Contract Price of Work <br /> ��-rI�il L T.P�'�S� 117AL z Ic2� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescriptionofWorktoBeDone: ZiL'S%ALL �L� iN��m�sia� GtJfQG� <br /> NOTE: WIRING 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 /> 1 here6y ceAi(y that 1 have read and ezamined fhis applicafion and know the same to be true and <br /> correct. All provisions ol/aws and ordinances govern�ng this type o(work will be completed <br /> whether speci(ied herein or not 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 consfruction or the <br /> peAormance ol construchon. rhat I am aufhorized by the owner of this property to per/orm the <br /> work lo�which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �1�.C/ '� ' � / D <br /> ignaWre Da <br /> � 7/� l!/� <br />