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( <br /> ELECTRICAL PEF:MIT APPLICAYION <br /> CITY OF EVERETT F'ERMIT SERVICES <br /> 3200 CEDAR STREET, F.VFRETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM E AM TO 4 PM -DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br /> p'[��(� W � L�'S�nd �.� <br /> PROJECT ADDRE33 <br /> �'7S,�P�ywa /l 20�o w, (�,� � Eve�a�— UJ A 9$20� 3s3-555v <br /> Owner Mall Addroee Cly 54te/Lp Pharo <br /> TBnBnI Mall Addreee City 9tate/Ap Phon� <br /> �P.r� C•"�i,� iP.r�,ict? //ii? ig'^'Si n/F, Ia,FE S ti . �,Sg _i <br /> Electdcal Conlractor Meil Addreea Cily Sfate/Zip Phona <br /> �E�CE/F_ S 9 6 2�/� " " �`� � �3/5/ _ <br /> State License Number Contract Prlce of Work <br /> Propoaed Use of Bulldirg Canted Peraon (Plan Review) <br /> Descr�pllon of Work lo Be Dane: �/��(f. Pf�/����� W��� i 5 �/veiefC�4 f%X�i'�'S <br /> .��a� /e/l��e E�'T �''c�,us <br /> NOTE: WIRING IN NON-OWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi/y fhat 1 heve reed and examined this applicaflon end know the same to be frue end <br /> correcf. All provisions ollews entl ordinences govem�np this fype ol work wlll be completed <br /> whether specifieA herein ar not. rha grenting ol e permrt does not prasume to plve aufhority to <br /> violate or cancel the provisions ol any other state or local lew regulefing consfruction or Ihe <br /> peAormance o/construction. That I am authonzed by the owner o/this property to perfomr fhe <br /> work lor which applicatian is made end 1 comply with fhe Stafe Confrecfors Law 18.27 RCW end <br /> 296.200 WAC. �� <br /> , � <br /> 0 <br /> Sipnature—�'�� / Det�� � <br /> �yll- �� � <br />