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• <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVEREiT 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 />�� ��% - S�}-� ��l (� � � 1� � c,��.=�� <br />PROJECT ADDRESS <br />�(�x,� �.�>,� � �L��-�,��-�„I T%r2-/}�'v� � s�� 9�z � - S ��� �� � /� . �=��-c�"j" � � �U -/�� 7 <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />�� V��'1�, <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: l�l 4� 1`+ <br />Contract Price of Work <br />Contact Person (Plan Review) <br />!i-�.1'} i l N L c� �r'� cx' i� �� e L_ X 7�. <br />i-��='�IZ�;��}6'1�ti ��i�l���'� �'L'� �' r�:=y=�`f /�vGlL'� <br />� <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 />�ZS� <br />I hereby cerfify that 1 have read and examined this application and know the same to be true and ��%,% l Zo �—�� � <br />correct. A!1 provisions of laws and ordinances governing fhis fype of work will be completed G_ V" <br />whether specified herein or not. The granfing of a permit does not presume to give aufhorify fo <br />violafe or cancel fhe provisions of any other stafe or local law regulafing construcfion or the <br />performance of construcfion. That 1 am authorized by the owner of this property to perform the <br />work for which application is made and l comply with the Sfafe Contractors Law 18.27 RCW and <br />296.200 WAC. „ <br />