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� ( <br /> �LEGTRICAL PERMIT APPL[CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi', WA 98201 <br /> 425-257-8810 - FAX425-257-8857–www.everettwa.org <br /> APPLICATIONS ARE ACCEP.TED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> L�aZf� 1DT,` 51 - . <br /> PROJECT ADDRESS <br /> \.�lr�yTCnSC-�. (�U���T� Fle.-lGs <br /> Owner Mail Address C;ty � StateZp Phone <br /> Tenant Mail P.ddress Cih� State/ZJp � Phono <br /> S1lO�l�•�t�S� EL-�cti�r. �775�( <br /> c. Po � 'L.`18 S.,��tie�, ,s�.. gs��� � 4zs=3ss- <br /> Electrical Contraclor Mail Address � City SWte/ZJp Phone <br /> S+laho GZtlo Pi.l <br /> State License Number Contrac.t Price of Work <br /> � uQ 1..�� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: _r o V�i� � ��^_ -+-T � � �-�-- b�- �1»Q l,e � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. I I �� —" <br /> c � <br /> . , ,..� — <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 ` <br /> /here6y certr(y thaf f have read and oxamined this applicallon and know the same to be true and <br /> correct. A/l provisions ot/aws and ordinances goveming this type of work wi116e completed <br /> whether speci�ed h�rein or not 7he granting of a permit does notp resume to give aufhority to <br /> violate or cancel the provisions ef any o(her state orlocal/aw regulating construction or the <br /> pedo�inance of constroction. That/am authonzed by fhe owner of this�ropeRy to pedorm the <br /> wor�,fdr which app!ication is made and 1 comp/y with the State Contracfors Law 19.27 RCW and <br /> 296.2� WAC. <br /> (����� � �\� . � \. <br /> �naWre Date <br /> S-z�� �v <br />