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ELECTRICAL PERMIT AP�'LIC�►TION <br />CITY OF EVERETT PER�NIT SERVIC�S <br />3200 CEDAR STREET, CVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereltwa.org <br />i'��(�I17 <br />C- !GU?� 1 Z� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />L�1 �-o��.ce�.�n vJ A�l <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />CIiY <br />State/Zip <br />Slate2ip <br />Phone <br />Phone <br />�v�NOvAl�Ve�c,�QC�s�� T.�ne 1�0 C�uX �,'��;3 I�.�Y�u��;c�c\WA �RU��, <br />Eleclrical Contractor Mail AdJress City StatelZip Phone <br />��Nt�uv � oss �� � <br />State L(cense Number <br />��A S�.\ � PJL <br />Proposed Use of Building <br />i'1. GOo� 'O <br />Contract rice of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: �� SP�,v �c �-T��nti�e� C\t'CU�I� 7 �N\C'/� <br />S\c� �'� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRFD TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 C) �(� —��1 � <br />d <br />1 hereby cerfi(y IY,af I havc read and examined fhis application and kno�v the same fo be frue and <br />correcl. All provisions o(/aws and ordinances governmg fhis type o! work �vill be completed <br />whefher specdied herein or not The granting o7 a pe�md does nol presume te give aulhonty to <br />violafe or cancel fhe provisions of any ofher state or local law regu/ating construction or the <br />pedormance ol conSVucLon. That 1 am aufhorized by the owner o( this proFerty (o per(orm the <br />�vork lor �vhich applir,ation is made and I comply �vifh fhe Slate Confractors La�•✓ 18.27 RCLV and <br />296.200 WAC. <br />� <br />