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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,�' � � �2 � �- v� , G�(/ <br />PROJECT ADDRESS <br />� � � ff j.(. /� %�2 (' � <br />�(!l�iC�✓�� / �G. ��/J SG/'1 /GC%� 3 �/ �/�Z ���� r��-�r� � � y {ZS�2G'� �>�/�ic� <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Electrical Contractor <br />Mail Address <br />1�'N�C_i)�Y1 �(l C,ct`1_�C� <br />State License Number <br />1�_S S�_=:. <br />Proposed Use of Building <br />Address <br /><< S c; <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: <br />City <br />City <br />State/Zip Phone <br />;7� �c�"C�C�.YY1G�� ��J° <br />State/Zip Phone <br />�ZuO <br />Contract Price of Work <br />��1C,1 Y .I � �1 0 ���. <br />Contact Per n (Plan Review) <br />�-9/�� T <br />� <br />�� p . <br />� -X � � S � f��, n c �z � Gr Gr�L� .i �!`�� � �i� �t L � � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE . ;--��� <br />� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify fhat I have read and examined this applicafion and know the same to be true and �� � j O� _ O'�f1 <br />correct. All provisions of laws and ordinances governing this type of work will be completed "r �/ <br />whether specified herein or not. The granting of a permif does not presume to give aufhority io <br />vioJate or cancel the provisions of any other stafe or local law regulating construction or the <br />performance of construction. That 1 am authorized by ihe owner of fhis property fo perform the <br />work for which applrcation is made and I comply with the Sfate Contractors Law 18.27 RCW and <br />296.200 WAC. , , /��� <br />