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ELECTRICAL PERMIT AP��ICATION <br /> CITY OF EVERETT PERM17 SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIUNS ARE ACCEPTED FROM 8 AM TO 4 PM • DEBIT 8 CREUIT CPRDS ARE NOT ACCEPTED <br /> %� <br /> 3.7-3,?_ '`,�;-.;�i�Gi.� r <br /> PROJECT ADDRESS <br /> � � � �� y�z / <br /> �✓F_,P�'i%C.�i r lJAI �_�/i�-F,� � .� J/ ��SG,t�FFL[f�L , � ✓.'T ,�✓F.t/'�. � +J <br /> Owner Mail Hddress City SWIe2ip Phone <br /> �j'�2 s^ �f.2-,2Z/O <br /> Tenant Mail Fddress City Slate2ip Phone � <br /> UNITEO ELECTRIC CONTRAf,TORS, �r;C. <br /> Electrical Contractor Mai�nddress EVERE71, 4'J �2f!3 � state2iP Phone <br /> (425) 252•7811 <br /> LlN�FE'c/76/1G - '�3,� ol�a — <br /> Stale License Number Contracl Price of Work <br /> ��N� <br /> Proposed Use oi Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �F� lU-s"N+K <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> !here6�certily that I have read and examined fhis application and know the sam:,io be true and <br /> conect. All provrsions o/laws and ordinances govemmg this type ol work will be complefed <br /> whether specilied herein or not The gr�nting al a permd does nol presume to give authonty to <br /> violate or cance!fhe Provisions oi any ofher sfate or local/aw regulating construction or the <br /> peAormance ol construction. That 1 am authonzed 6y fhe owner o/fhis propeRy to pedorm the <br /> work/or which application is mad d 1 comply wifh fhe State Confractors Law 18.27 RC W and <br /> 296200 WAC. <br /> �,i. / � /.'L �.2 7 /� S <br /> SiynaWre Date i <br /> _ �,�� —��� <br />