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� <br /> �LECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR 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 ��� � !� <br /> ��zpu --lN'7 <br /> / 010! /q�� � Vt" s�, �'k ifE �+ �Z <br /> PROJECT ADDRESS <br /> Owner <br /> Mail Address Ci�y StatelZip Phone <br /> EDwr�RD .1^D�1/ES TNVEsrM eNrs <br /> Mail Address City StatelZip �/��"3-�� P 6�JS <br /> Tenanl 1 i <br /> l,l R /�D /N G ELE�7R /c /oy�iy8tti pc sw �yNNwvov W►4 48�8� <br /> Electrical Contractor <br /> Mail Address City S�a�e2ip Phone <br /> 7�OD.O O <br /> DRI�pE�o�1R � <br /> Slate License Number Contrad Price of Work <br /> O FF/c� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescriplionofWorktoDeDone: � EN�NT ZmPaov��.rt,vr - ��w �rGKTS, <br /> ��EP T/t'G 1-ES �Nb Sw I TcN ES: <br /> NOTE: WIRING IN PJON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that 1 have read and examined fhis applicafion and know Ihe same to be true and �j l 2-`'� y � �} -7 <br /> conecL All provisions o(laws and ordinances goveming fhis type ol work wdl be,completed � ` 7' <br /> whelher speci6ed herein or not The granhng of a permd does not resume to grve authonty to <br /> violafe or cancel the provisions ol any other sfate or local law reguPafing construction or the � <br /> peAormance of onstmchon. That 1 am authonzed by the owner o/this property to peAortn the � � � <br /> work lor which, pl'cation is made and I comply wifh the State Confractors Law 1827 RCW and ��—,— I <br /> 296.20 .WAC: <br /> �-. �,,, . Zi`!y <br /> iaWre Date <br />