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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERET�' PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-88'k0 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />q I G Pac.� 1-� L nve. <br />PROJECT ADDRESS <br />p,r�vsr% ii�.�l I-�, S��us I�! �� �.. Av�� �,,� �„�, `i�5� �-1? 5� 5`Z.S - 33s 5 <br />Owner Mai� Address City State/Zip Phone <br />'P�av;r�.� �� ������-, ��v��c�s ��D l L.�� laver S�'' Re,n�'�., 980�7 �12.s • 57..s • 335 5 <br />Tenant Mail Address City State/Zip Phone <br />V�G(� ���r�c�� 5�1� ��' /a�e- �e�1k`e- \i�+ 9$ta�d '1t�-�3� -sza� <br />Electrical Contractor Mail Address City State/Zip Phone <br />1�C� EG�5y2Mu ' <br />State License Number <br />� ��S�i�i � - I �Ve� � l'�G�� �-�-t�?�e;� <br />Proposed Use of Building <br />� ��J�t�O <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Square Footage (If residential new construction, remodel or addition) J <br />� � <br />Description of Work to�B1o,Done: �h51.��� �lF� �-18� F��r a� j�j�, ��,.,,�-�r �,.�pr� is pC,f d�t'g� ���5 <br />E <br />s�GGl�s �PI I�' EP31 or� �,�Yk Sl,�� ',3 �G.�,a.,� �m,�- <br />T� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />��� �� �'� � <br />v <br />I hereby certify that 1 have read and examined this application and know fhe same to be true and � a �� � <br />correct. All provisions of laws and ordinances goverrnn� this type of work will be completed ���'� '�,; � % i� <br />whether spec�fied herein or not. The granting of a perm�f does not presume to give authority to <br />violate or cance/ the provisions of any other state or local law regu l ating construction or the <br />performance of construction. That l am authorized by the owner of th�s property to perform the <br />work for which applicaiion is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />/�31' / <br />