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n <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 />� <br />fZ� � � � " 5-�— • <<,v--� �.-e.:�— L� � "�— <br />PROJECT ADDRESS <br />� ��-% l� <br />Owner <br />�• � ° � <br />Tenant <br />Mail Address <br />Mail Address <br />�t � <br />cal Cbntractor Mail <br />r�'Vlt,� �ti'v.� 1 �� �Z� � <br />State License Number <br />`�?�.� � <br />Proposed Use of Building <br />City <br />City <br />City <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: ��`_�� �� �-�,�:` r <br />�� : � 1 C''v�- � _� C� � � C ►��--� � � .� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />State/Zip <br />State/Zip <br />.Z� <br />State/Zip <br />Phone <br />Phone <br />�7 — 7��-=���� �a <br />Phone <br />�� <br />,;��� . � <br />Contract Price of Work <br />P p,( J <br />�''� t�� Iv��'''l.r�. r. � a��t �/1 <br />Contact Person (Plan f�evi w) <br />�� � �3 �� <br />� '�G% �� J C',�c, <br />0 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I l�ave read and examined fhis application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether spec�fied herein or not. The granting of a perm�t does not resume to give authonty to <br />violate or �cel the provisions of any other stafe or local law reguPting construction or the <br />perfo�m c of construct�on. That I am authonzed Uy the owner of this property to perform the <br />work r w ch application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />_ �j � � �'-�-� <br />� <br />FEE <br />��;. �1�� <br />�� ��'� � ��� <br />� <br />