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� <br /> ELECTRICAL 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 /> � `� � �- C_ 5 fd �-��. <br /> PROJECT ADDRESS <br /> ��C��!firv �� .�C.,UC�.�� (`l ► i, i.` ��I `-I ��;�P.���,�i�� i,;/� `''1ii<<�j a"��"�1 �°�� <br /> � <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> �%�1�;' �1-�.1� <br /> ElectriCal ContraCtor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> �Z�� ���,.�C�!. <br /> Proposed Use of Buiiding Contact Person (Plan Review) <br /> Descri tion of Work to Be Done: L���.'r�„^- � ,,� , �,�;�.���, � 1:1 ��• �*l�� (; 1._•:=�1 r<�:,-- ,;,,,,.� <br /> p � k; ���-,G. � ,� ; <br /> �-,�C�E���. � v�-����� ��� ���Gt'�E�.ti <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. -- ,, � ., <br /> '�. <br /> L <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify thaf I have read and examined fhis application and know the same to be true and <br /> correct. All provisions of/aws and ordinances governin�this type of work will be completed <br /> whether spec�fied herein or not. The granting of a perm�t does not presume to give authonty to <br /> violate or cancel the provisions of any other state or local law regulating consfrucfion or the <br /> performance of construction. That I am authorized by the owner of th�s property to perform the <br /> work for which application is made and 1 comply with fhe State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ��' �� (;�' L � �� <br /> �, - � �) � <br /> " Signatur ate ��� <br />