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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 />��C�� � �� �6�1lJ�' �___ � �/ r r � � � �`-' � ��"' G3% <br />PROJECT ADDRESS <br />a <br />Tenant <br />�I L�,�Z L.�t./c : <br />Mail Address <br />Mail Address <br />c�ty <br />C ity <br />State/Zip <br />State/Zip <br />� <br />Phone <br />Phone <br />�, ,� .��o � � r� �,�y; �-- <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number <br />�; L� �%c'_ �' �� %/ y�� �i7 �___ <br />Propose se of Building � � <br />Square Footage (If residential new construction, remodel or addition) <br />1� �Ci `�� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: �Y/� �.��. %�� L, r% Scc� ,� � G,�- _�, �7— ����T�r ��S <br />l ✓l� �� � T, li.� ,.�-� <. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and know the same fo be true and <br />correct. All provisions of laws and ordinances governm� this type of work will be completed <br />whether specified herein or not. The granting of a perm�t does not presume to give authority to <br />violate orcancel the provisions of any otherstate orlocal law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />�����i ���i� <br />