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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETi', WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />�-'8zz- �ev��� I..�i.� - <br />PROJECT ADDRESS <br />Owncr <br />� <br />Tenant <br />`UZ �. - ��21i-G'l�.J <br />A{ail Pddwss <br />�dail Address <br />V%l�2 C�� <br />ily SlatelZip <br />City Stale/Zip <br />6 --a�i-ob <br />C pbo6�aD'Z <br />Phone <br />Phone <br />�$ZS� <br />��, EL�G-��.[.. — �D3 �-O� �r-. SE Snt��-��s�l � �lZS3"11231 <br />Eleclrical Conlrac�or M11a11 Addmss City StalelZip Phone <br />�{ChEL��9��N{5 <br />Slate License Number <br />s. T • � . <br />Propased Use of Buildin� <br /><' �� <br />b � � <br />Contracl Price of Work <br />ConlaclPerson (Plan Review) <br />Descrip�ion of Work to �e Done: � w� '� • `�w `�'- 's I ' "��-` '� ' ` — <br />NOT[: �NIRING 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 />I ha�uby certily thaf I have read anA exarnined fhis application and know fhe same to be Vue and <br />corrcct. All provisions ollaws anJ ordinmices goveming this type ol work �vill be completed <br />�vhether specdied herein or nof The giar.fing o! a pennd does nat presume fo �ive authority to <br />violafe or cancel fhe provisions ol �ny othei stafe or /ocal la�v re�ulating construchon or the <br />per/onnance ol col,sWact�on._Ihnf I am �iulho�ized�v-!he Owner o/ fhis property fo perlorrn fhe <br />�onrL /nr iNiirh nnrJirnhnn rc m�rTwii2lminlVifvi�li thA gt��e Contractors law 78.27 RCW and <br />�-��z�%�,�cG <br />FEE <br />�o�o6-wz <br />