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� - <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRF.ET, EVERETT, WA 98201 <br /> 425-257-8'310 - FAY 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> � <br /> `� �� ' I } t: (� ;' �',L� <br /> PROJECTADDRES� � �� ; i �. :-, � , ; ; � r �-- <br /> Owner Mail Address City State2ip Phone <br /> .i, `.� �.i'' � _ I�i'. I �.� _C._ <br /> Tenan� , � � � Mail Address City State/Zip Phone <br /> :� (/" , � ���L �� <br /> --�-v, � f.-i �-c. - �' �f� -' ' '1�\c'�� '�I. . �.. `.. �� -��- / �� �% �i`� `��_�'[ , <br /> Electrical Contraclor Mail Address City State/Zip Phone <br /> � �. A_. � �� � 1 � i� ' � �I, 1 1.- ` r_ `. '— <br /> State License Number Contract Price of Work <br /> � � 1 <br /> Prop�sed Use o(�uilding Contact Person (Plan Review) <br /> Descriplion o(Work to Be Done: ,' ,i.�. '.. l � i`-�.r•.� \� .�-i:;,.•1��, `�.:-� ;."�.- <br /> � <br /> ' .��. ,��' , � � . �_. <br /> 1 1 _ i \ P --. \t ` �� l � <br /> �� � '�, �. i , �.. �—� . � ,; �' <br /> � <br /> � � � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> / /`�' - <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily that I have read and examined this application and kno��v tl�e same fo be hue ard <br /> correcL All provisions o/laws and ordinances goveming fhis type ol work wi'1 be completed <br /> whethcr speci6ed herein or not. The granfing of a permd does not presume to give authonty to <br /> violafe or cancel fhe provisions ol any ofher state or local law regu/ating consWction or}he <br /> pedomiance nl construc6on. That l 3rn authonzed by tbe owner o(this property to peAorm the <br /> work lor�vhich applicalion is made�a�id 1 compty wifh fhe Sfafe Confracfors Law 1827 RCW and _� <br /> 296.200 WAC. - � � -`" ' <br /> � , l ` f j � �-, -//�> <br /> Signaturc Daie ' <br />