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3 " <br /> � , <br /> ELECTRICA!_ PERMIT APPLICATION <br /> CiTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi, WA 98201 !b `�g-0� <br /> 425-257-8810 - FAX 425-257-8857 -www.evereitwa.org �a��D_�3� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� l � � �� �fi� �e� <br /> PROJECT ADDRESS <br /> �i�1�-�C � �� � ��1 ��;�� f�� Eu�� / � � �� <br /> OWnOf Mail Address City Slale/Zip Phone <br /> '� ��� ������ <br /> Tenant Mail Address Cily StatelZip Pt � .e <br /> ��CC�!� f' �C Cl� � C �O��'i� 0�-�l�� ��0.r,� 1,.F1� � � � <br /> Electrical Conlractor Mail Address Ciy Slate/Zip Phone <br /> Slate License Number Contracl Price of Work <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description of Work to Be Done: I �-��'`1i� ���-4-�� �"'1�v V\��'�.i� ��y��'� `ry <br /> ��� -tk� C��`�6 �,, �C v� �ru�� � Si`-\��}����, c7�0' �I ��. <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 /> I hereby certify fh:�f 1 have read and examined this application and know the same to be true and 5 <br /> conect. All provisions o/laws and ordinances govemmg fhis type of work v.ill be completed lU—�)�� <br /> whether speu6ed herein or noL The granfing ol a permd does not�resume to give authonry fo <br /> violate or cancel the provisions ol any o(her state or local law regu/ating construcfion or fhe <br /> perlormance o/construction. That 1 am aufhorized by the owner o(tlus property fo perform the <br /> �vork(or which application is made and 1 cornply wi(h fhe State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> „ " <br /> -� � �1C�� �'���.,LL�- �� � <br /> Signature ate <br />