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i <br /> ELECTRICAL PERMIT APPLICA�ION <br /> CITY OF EVEf�ETT PERMIT SERVIC�S <br /> 3200 CEDAP, 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 /> �� �� l I���� v"� � � �vt.r'2� �o I �3 c� <br /> PROJECT ADDRESS <br /> C� Po B J� t��r�i �.� LJ� 9g�-�'c� �5�5���o <br /> Ownef Mail Address City State/Zip Phone <br /> .�� <br /> Tenant Mail Address City State2lp Phone <br /> -���„��. �1�� �« �5c� 9�'�D:-. s. F � �.��a ��yo ��0-90�� <br /> Electrical Contrector Mail Address City State/Zip Phone <br /> �179 �'`� - <br /> State Licerse Number Contract Price of Work <br /> Proposed Use of Building Contact Person (?!an Review) <br /> Description of Work to Be Done: _�r.J ' ` � � ��^�. �' — <br /> NOTE: WIRING IN NON-DWELLINGS IS REQU�RED TO �� <br /> BE IN RACEWAYS, MC OR AC CABLE. r-' � ` �'"� <br /> � --_, <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /hereby certify that I have read and examined thi�application and know the same to be true and <br /> correcL A/l provisions of/aws and ordinances govemmq this type ol work will be completed <br /> whether specified harein or nof. The granting of a permd does not presume to give authonty to <br /> violate or cancel the provisions of any other stzte orlocal law regulating construction or the <br /> pe�ormance of consvuction. That/am authonzed by the owner of fhrs property to peAorm the <br /> work!or vihich application is made and/comply with fhe Sfate Contracto�s Law 18.27 RCW and <br /> 296.200 WAC. <br /> l0 dG <br /> ignat Dare <br /> Eo�iG -ao� <br />