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ELECTRICAL PERMIT APPLIC�ITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br />bis e�/�j, n�,� ��«�H- w� 9�zo:a <br />PROJECT ADDRESS <br />F c.� 6�5 Colby A,.G �..vc�1' In1N a3'Yz.�3 <br />O�vner Mail Address City Slate2ip Phone <br />Tenant <br />Mail Address <br />Contractor Mail Address <br />+I��.� r�e c 9� o p!+ <br />State License Number <br />��r,�� �v✓,7 J� 4rfi�M� <br />Proposed Use oi Building " <br />Description oi Work fo Be Done: <br />NOTE: WIRING 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 />City <br />City <br />SWte2ip <br />Slate/Zip <br />�` iSCaJ. "° <br />Conlract Price of Work <br />Conlacl Person (Plan Review) <br />I hereby cerfily that 1 have read and examined this applicafion and knew the same to be frue and <br />conect. All provisions ol laws and ordinances governmg fhis fype ol work will6e complefed <br />whefher speciGed herein or noL The granting ol a permd does not presume fo yive authonty to <br />violate or cancel Ihe p!ovisions ol any olher sfafe or local law regulating consfrucfion or fhe <br />perlormance ol construction. That / am authorized by Ihe owner ol this property fo perform the <br />work lor which applicafion is made and 1 comply with the State Con6acfors Law 18.27 RCW and <br />296.200 WAC. <br />0� <br />FEE <br />�Ci%( ( -G%(�� <br />Phone <br />-vou- i <br />Phone <br />