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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 />� / <br />�f ���7 �`l�`��<< ��;��� � -�- � �� ��-,,: �: ��� �� ��� <br />PROJECT ADDRESS <br />i / <br />C��%�( �G [.'�i%� 4;(G�� <br />Owner <br />Tenant <br />��%t-e / <br />Electrical Contractor <br />State License Number <br />Proposed Use of Building <br />Description of Work to 8e Done <br />��� � 7 � �: <br />Mail Address <br />Mail Address <br />Mail Address <br />� �- <br />L: l%k �� ��,c �� ��-,-� .�f <br />City <br />City <br />City <br />��'r�-.c.�- <��-�,. �c v�t •f <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />�--11 �'r�' �� �j � <br />State/Zip <br />State/Zip <br />State/Zip <br />Contract Price of Work <br />l'��� ��"2[�J / <br />�, �t -t y <br />Phone <br />Contact Person (Plan Review) <br />�/� 2 � �r.--- <br />CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br />I hereby certify that 1 have read and examined thrs application and know the same to be irue and <br />correcf. All provisions of /aws and ordinances governm� this type of work will be completed <br />whether specified herein or not. The granting of a permrt does not presume to give authorify fo <br />violate or cancel the provisions of any other state or local law regulating consfruction or the <br />performance of construction. That 1 am authorized by the owner of this property to perform the <br />work for w' h application is made and c�omply with fhe State Confractors Law 18.27 RCW and <br />296. ZOQ C. <br />i i� � // / �' ' <br />�: /� , � ��'�'�,f C ���� <br />FEE <br />Phone <br />Phone <br />' � f (`., ,'� �, y, . l, ,� ,E <br />i_� •, 3 '.i <br />