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� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EV�RE1"T PERIVIIT �ERVICES <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 />3 S�'f —�� �c� r� /�.r-� G( � Z�� � <br />PROJECT ADDRESS <br />i� � �n C1 � � (Cc `s1 � S 2 `� J �v rz �'�., � � u f + L� <br />Owner PJlail Address City <br />Tenant <br />f7�a� et C����+,-, ` <br />Electrical Contractor <br />Mail Address <br />�, v � o Cx�_ �«s 1�-� <br />Mail Address <br />� i... n. +J �- E�E ��c� � I <br />State License Number <br />Proposed Use of Building <br />City <br />�uC+� <br />City <br />Square Footage (If residential new construction, remodel or addition) <br />`7 4' ? c 3 <br />State/Zip <br />StatelZip <br />%'� `7YLt <br />State/Zip <br />�.� c� U� — <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: ��o�-t �-�� �-� ° � � � � �` �=°r v � r z � �-% �'z �' ` �^ � . : <br />�c��:; � ,,., ` � � ��-+ , � -�- w � r� � �a <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 />I hereby certify that I have read and examined this applicatron and know fl�e same to be true and <br />correct. Al! provisions of laws and ordinances governmg this type of work will be comp/eted <br />whether specified herein or not. The granting of a permit does not presume to give autl�onty to <br />violate or cancel the provisions of any other state orlocal law regulating construction or the <br />performance of construction. That I am authorized by the owner of fhis properfy fo perform the <br />work for which application is made and I comply with the Siafe Contracfors Law 18.27 RCW and <br />296.200 WAC. <br />3 <br />FEE A� <br />�� ��v <br />Phone <br />Phone <br />Phone <br />� fZo�'-�7 � <br />