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ELECTRICAL PERMIT APPLICATION <br />CITY QF EVER�TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�:� ? � 5 � L v�,2e � (-I �7� �i �,ti � � y �U��,� � �f r,,�, �' <br />PROJECT ADDRESS <br />)l � h�D� <br />L'�g►�--��5 <br />��� Gd' <br />-� -, �� - - � j- ,,, r ; �� � <br />�' SC7 J C L Vt: j C(�I �lG � Gi �,--�t y � VC� �,l � ��,/� l a` c�� <br />Owner Mail Address City Stale/Zip Phone <br />Tenant <br />Mail Address <br />Cily <br />Slate2ip <br />Phone <br />5/C �.lr�c�l�t��c Ca l_�32 `f';r.;� �=vc•r��-I-1 �l%� `1�'2Gy <br />EleClrical ConUaclor Mail Address City Slale2ip Phone <br />Stale License Number <br />Proposed Use of Building <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />/, <br />Descriplion of Work lo Oe Done: �-- r<� Gt ���'i�� °t �='C� ! t����� ��'S C" �/' C C�; � S L� t V� � G� U <br />, -- <br />i d7 ��r%'-;/%c. G��„ � C��YICe� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi/y fhat 1 have reed and examined fhis applicafion and knew fhe same fo be troo and <br />correcL All provisions o/laws and ordinances governmg this type ol work will be complefed <br />whether speal�ed herein or noL The c�rantinc� ola perrnd does nof presume fo give authonty to <br />violafe or cancel the Provisions o/any ofher stafe or local law regu/ofinc� consfruchon or fhe <br />peAomiance o( cons(ruclion. That 1 am authonzed by fho owner o/ fhis property to pedomi Ihe <br />work lor �vhich applicafion is ntade and 1 compty �vith the Stafe Con6acfors Law 18.27 RCW and <br />296.200 WAC. <br />�.._:_ --._ <br />FEE <br />�C�7 � � - ��i5 <br />