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. <br /> �� ,�pY � 2 �� SP �c`r, �, �J <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320U CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCFPTED <br /> L��r g3 ys-� g s '"n� s� <br /> PROJECT ADDRESS <br /> Q.�s � P<<, k �; �I< <br /> Ownef Mail Address City StatelZip Phone <br /> Tenanl �dail Address City State/Zip Phone <br /> P'\C� n �'\.�lri �2�ec ��52�( �o� I'i�c ( �n !`� ��an� 1�1a 19�f`t �3W3�/• �S-7Z; <br /> Eleclrical Coniraclor Mail Address City State/Zip Phone <br /> �"�C�'r NC�'i': �/�y <br /> State License Number Contracl Price o(Work <br /> I�s��Y.,�-.�_ � <br /> Proposed Use of Building CoNacl Person (Plan Review) <br /> Gescription o(�Vork to Be Done: _ r�' 'L� C1��� —�CGL�d� A _ <br /> 7 <br /> NOTE: W IRING IIJ NON-DW ELLINGS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily fhcn I have read and examined fhis application and know the same fo be frue and <br /> correcL All provisions of la�vs and ordinances govenung fhis type o/work will be completeci <br /> whether spea/ied herein or noL The yranting oI a pemut does not �esume to give authority fo <br /> violate or cancel Ihe provisions ol any ofher state orlocal law reguPtin�construc6on or the <br /> peAormance ol construchon. That 1 am aulho�ized by the owner o!this property ro per�orrn fhe <br /> work for which applicafion is made and I compty wifh the State Contractors Law 18.27 RCW and <br /> 296200 WAC. / <br /> i�% ' �/ � �� <br /> ign ure _, Ua�e <br /> 1 <br /> � v�o7 - G>S <br />