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� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT 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 />2s1� � �,,� �N� �.� . <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />City <br />State/Zip <br />Phone <br />/i1 A-J��7'/ C G� /d�� 7D 7�e� n� 2c� �?i�28� r.c� � ��3 `/as-. �1 �7 � � 2� <br />Tenant Mail Address City State/Zip Phone <br />ki�-g�t �z�►� �( N�� H�2�"g„ srNw,�v2� , �u� �'��vl a.�3-�-a-dda <br />Electrical Contractor Mail Address City State/Zip Phone <br />K.��6.� cz o����I <br />State License Number <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Contract Price of Work <br />��}�(,N-as���.ls� �3-�S 9-�a <br />Contact Person (Plan Review) <br />Description of Work to Be Done: /(��z(� f}u-,TDlM f�'!'( ��//LS /,�(,¢tLGv! S�/S %� �`U'2 N�� <br />( '�tJ S4Y��Lt"L(�N �Gl l LU/N � � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE . <br />2��-ZS <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that 1 have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances govern�n� th�s type of work will be completed <br />whether spec�fied herein or not. The granting of a perm�t does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construct�on or the <br />performance of consfruction. That 1 am authorized by the owner of fhis property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC1 <br />� <br />re <br />�1 Z� 6�02 <br />