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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 /> �� U -1 �`hl���. �� V � ��C� � ` ' -�-" <br /> PROJECT ADDRESS <br /> Owfler MailAdaress City Slale/Lp Phane <br /> Il �'VU� � 1 �<�� �t,v jy �Y�� �_(L.(� 1 C Cl l� �t''�v�l � cc �� q25 ZS �� <br /> Tenant MaiindAress Ci�y Stete2ip Pnone <br /> I\�t' � '�� 1� � � � ,c ��• ,- ��'�� `�c r`.� I 111 � 1�i i� ��� `.�c'. ,��'G L� �/1 `!'� ��1� <br /> tledncal Coniractor Meil Adare s Cily Steleizip ``�O Phoil�-z �i rS 'I <br /> l `i <br /> �� � � .00I <br /> '+-1Y�'1 ) 7��� ��1L� 7C-'L <br /> State Li�nse Number Coniract Pnce ol Work <br /> Proposed Use of Bwldmg Contact Person (Plan Rewew) <br /> 1 _ ` <br /> Descripti000fWorktoBeb�n��J �l �` �(��� \�t�l� ��( lt � V ���- � ��� J�� .L1' I <br /> �y � :7� lll� ('l-� lf �l <br /> NOTE WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE •E� C� <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS J106 <br /> 1 he�eby certily fhnt 1 have re�AanA e,anuneA fhi;npplicaf�on ond know fhe same to be tn�e and <br /> coirecf All prov�s�ons o(laws and ordmancos govemmg fhrs type ol work will be complofed <br /> whefhor spec�hod horem or nol The granbng ol n pemtR does not prosume to grve aufhor.ty to <br /> v�olafe or cancel Ihe prowsions ol any ofher sfafe or local law roqu/ahng rnnstrudwn or flre <br /> perfoimance o/consfrucf�on That I am euthonzetl by tho ownnr o/fhrs property fo peAorm fhe <br /> work lor which app6ca6on is made end I cromply wrth fhe Slafe Contractors Law 7B 27 RCW and <br /> 296.200 WAC. � <br /> � • I <br /> � ' � � ��� - � r �I ;"� I � <br /> SiynaW�e • Da e <br /> � �� So� - / 5_3 <br />