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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAH STREET, EVERETT, WA 98201 <br />425-257-0810 - FAX 425-257-t3857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />9oy ,� �,��,�; <br />ln��f�7?�`�%�'i <br />PROJECT ADDRES� <br />ca 3�..OL� <br />C-o6o �'-�7Z <br />�v,,��c� h1D5P�T�'ft- i3�� c��,ay nv� �,�,�c-rr ��,� yF2o� <br />Ovmer MailAddress City StaleRlp Phone <br />Tenant <br />Mail Address <br />Clty <br />Sla�e2ip Phone <br />_�A�rFic �o.NmvNrU+f7oN5 Gt6uN�� i�(�G� � /���KSiDF,0�2. hrThf� `i�nl/ <br />Eledrical ConUactor Mail Adtlresa Ctty S�atemp Phone <br />�{as-Y�S-s�ls� <br />P��c� 98zaz. <br />Stalo License Number <br />(9�F/C� 5/��lf� _ <br />Proposed Uso of Building <br />_� 76v <br />Conlrad Price of Work <br />Contact Person (Plan Review) <br />Description oi Work to Be Done: V�« Ii1�D aM�i C�-�w 01✓L1� <br />NOTE: WIRING IN lJON-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 />I hereby certily thaf I have read and examined this applicafion and know fhe same to be tme and <br />Conecf. All provisions ol laws and ordinances qovemrng fbis type o/ work will 63 complete�i <br />whefher specified herein or not. The granfing o/ a permrf does not presume to g;ve aulhonty to <br />violate or canrel fhe �rovisions o/any other sfafe or local law regulafing consfrvction or fhe <br />pedormanco o(cons rvcfion. Tha(1 am aufhonzed by fbo ownerolthis propertylo pedorm the <br />work lor which application is made and I comply wifh fhe State Confrac!ors Law 18.27 RCW and <br />296.200 WAC. <br />0 <br />