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ELECTRICAL PERMIT APPLICATIC)N I <br /> CITY OF EVERETT PERMIT SERVICES � _ 3�_o S I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ( 3 <br /> 425-257-88i0 - FAX425-257-8857 -www.everettwa.org �^°���`-�� <br /> APPLICATIONS ARE ACCEPTED FFZOM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> r�? rs 4,r�U <br /> PROJECT ADDRESS <br /> �� ,v v) i1� �iacrc�' (G�S t���� V Fvl`7`• 9��oi '�-�8�� 1'1-?0 <br /> Owner Mail Adtlress City State2ip Phone <br /> / V � - <br /> Tenant Mail Address Ciry State2ip phone <br /> �:l'�UU!!SY- l����r_�YIG ���� SMt�yJ �<12 �JP.�/'P�� ��"7 �b��1 �"'���c�� . <br /> Elecfrical Contractor N1ail Aadrese Ciry Slate/Zip Pnone <br /> �;L/-�l�l�E?_O�9Q�t/ <br /> State License Number Contract Price of Work <br /> �/�'.S • <br /> Proposed Use of Building Contact Person (P�an Review) <br /> Descripllon oi Work to Be Dane: �l/1���rr� N�'-�� ��7` S Y.f'{eZ1'7 • <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO �EE � <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � ,�� o� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily that I have read and exammed this application and kncw the same to be true and <br /> correcL All provisions ol laws and ordinances govemmo this type ol work wdl be completed <br /> whether specilied herein or noL The g�anting of a permd dues not presume to give authonty to � ��� , <br /> violate or cancel the provisions ol any ether state or local law regulatinp construction or the <br /> peAormance ol construchon. rhat/am authorrzed by rhe owner o/fhis property to perform the <br /> wak�cr which application is made and 1•:ompty wi�h the State Contracrors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �,�-�� ;9 ��-�_.%l"��`� / - 27- GS <br /> S�gnawre Date . <br />