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ELECTRICAL PFRMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREl7, WA 98201 <br />425-257-8810 - rAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />c`� .� 3 co! 6� �e-- <br />PROJECT ADDRESS <br />� �s� �� ��',� \ � i' �` �,71�- ��� �v�', � (N I, � �,��`�� 5 <br />Owner Mail Address City SWIe2ip Phone <br />Tenant <br />�i2 �le��" <br />Mail Address <br />2 Zq %{h <br />[IecUical Contractor Mail Adaress <br />� �.b��-e. 131y � � <br />State License Number <br />SFJ� <br />Proposed Usc of Building <br />Dascriplion ot Work to Be Done: <br />City <br />State2ip Phone <br />�, (�� q�'.��r� y - <br />SWte/Z1p <br />Contracl Prico o( Work <br />Phone <br />a35-y��� <br />Contacl Person (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN R,4CEWAYS, MC OR AC CABLE. <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />f hereby certily fhat i have read and examined this application and kno�v the same to Ge Gue and <br />correct. All p�ovisions ol laws and ordinances governmg this type o/ work will be compleled <br />whether speaGed herein or not The granfinc� ol a pemut does nof presurne to �ive aufhorify to <br />violafe orcancel fhe provisions ol any ofher sfa(e or local la�v reguluting cons6ucfion or fhc <br />pe�foimance o( construc(ion. Thaf I am authorized by the owner ol this property to perfom� the <br />�vork lor which application is made and I cornply wifh fhe Slafe Contraclors Law 18.27 RCW and <br />296.200 W <br />� ,� �1 i� v � <br />� <br />�c�ScS-car <br />