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� • <br />E�.ECTRICAL 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 />� y r� �� �.t,l� LG-,,.�1 �� �- <br />PROJECT ADDRESS <br />�f E�... (��2t �:,—�. <br />Owner <br />Tenant <br />C�L'� hs�v� <br />Electrical Contractor <br />State License Number <br />l _�-t:�-'"� �---�"�- <br />Proposed Use of uilding <br />.5��-�s�. <br />Mail Address <br />Mail Address <br />� �(F'�''ylj`' <br />Mail Address <br />City <br />City <br />City <br />State/Zip <br />State/Zip <br />State/Zip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Phone <br />Description of Work to Be Done: +�,w''� •.�,r%c-'�ir��--� �,t% �✓�'�� �,�c-^'�� �l.c."`'u-��. ���c�..�� <br />o-- <br />(� / /� 7 <br />�G2'Yw �J�.aJ! � vrLi. i, 5..."1 �. l' �L� t, vL. �f-� �✓ L�i� L�.� c cw.,�-) p �,;,.,� 5. <br />J' <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />l hereby certify that I have read and examined this application and know the same to be true and � ' <br />correct. All provisions of /aws and ordinances governing this type of work will be complefed `� C��'`� � �� <br />whether specified herein or nof. The granting of a permit does not presume to give aufhority to `. ' <br />vio late or cancel the provisions of any ofher state or /oca/ law regu l ating construction or the <br />performance of construction. That I 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 WAC. <br />7 <br />,..� ��,��.�- G� �z �/�� � <br />