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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 />l�U�' /� � �� � i�- C_c.:� Ci� 1� �i% ��,�c_.,�I— lrJ� <br />PROJECT ADDRESS <br />� <br />�\=A� ��. ��c�A��� <br />Owner <br />Tenant <br />�r, �-�_ <br />Mail Address <br />Mail Address <br />City <br />City <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />\/`i"`.��•/����� ��� :�L ,�,�1 �,�!� �,�� �J��r}C- ��C:+'1..�"C� �'il�<<� l,�/�' ��J��}� �"1.�� "��3'f <br />ElectriCal Contractor Mail Address City State/Zip Phone � <br />�C�G� c �`���.\C.ie <br />State License Number <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: !'����-�CE� �� �--��L{ <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 />� � C%C'k� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />FEE � <br />�O <br />1 hereby certify that 1 have read and examined this application and know the same to be true and �, `����/� ^ O� � <br />correct. All provisions of laws and ordinances governing th�s type of work will be complefed Uv U <br />whether specified herein or not. The granting of a perm�t does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />pertormance of construction. That 1 am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contracfors Law 18.27 RCW and <br />296.200 WAC. <br />�, � ��C} �� C3�, � � <br />r�g <br />