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EL�C7'RI�AL PERMIT APPLICA�'ION <br /> CITY OF EVCRE:TT PERMI I SCt2b'iC�S <br /> 3200 CEDAR STF2EET, EVERETT, WA 98201 I` �� ��� <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> !=���i�.ias' <br /> APPLICATIONS ARE P,CCEPTED FROM 8 AM TO 4 PM <br /> `f o 2.7 - t b� � CA� F�,r��' <br /> PROJECT ADDRESS <br /> r <br /> � �ozZ� lo�-` ��-Q t�J C_�-d�- � <br /> �e_u� cti ��`',�, - _ — <br /> Otvner V.1ail l+dJress City State/Zip Phcne <br /> Teitanl I.1�11 AAdress Cit�/ Stat�2ip I'hone <br /> p2�.���r�� 13.02.-13g�'�v � �3{nhw� 'v.J�t �Z4 Z. ,�o-6S'2 36Z <br /> EleclfiCal ConlfaClof Mail AAdress City Stat��Zip Phone <br /> L�' � <br /> Slale License Number Contract Price of Work <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> L` T � � � nQ <br /> Descriplion of Work�o Be Done: L \ • \ �� ��`^'� ` ��^�T'^ <br /> NOTE: WIRING iN NON-DWELLINGS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS, MC OP,AC CABLE. <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br /> � <br /> I hrreby r.r�rtily fhat 1 liave read and examined fhis applicnlion and kno�v fhe sarne to be Vue and � (�� .e � '�(� <br /> conecf. All provisions o/fa�vs and orc/inances goveinmg fhfs type ol u�o�k �vill be comple(ed �^-- <br /> �rhefhar specilied herein or not. The granfing ol a permd does ncl presume to give authorify to <br /> viofafe or cancel Ihe`novisions ol any other sfate or local la�:regulafing consfruc6on or the <br /> peAorrnance ol construction. That I am au(hn�ized Ly Ihe owrer ol tlus properiy fo perlorm fhe <br /> work lor�vhich application is made ard!comply�vi�h Ihe State Confracto�s La�v 18.27 RCW and <br /> 296.200 WA . I <br /> i / <br /> w fl �o / °`� , � <br /> —5���,—.,��,�� ����� <br />