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ELECTRICAL PERMIT i4PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CE[7AR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�� n ay �.v�rz_ ���,� :�., � �a <br />PROJECT ADDRESS <br />U�fL(;'�Ld-/ue�o��/ REN%f'�f_ <br />Owne� Mail Address Cily State2lp Phone <br />Tenant <br />Electrical <br />_� I�x� s��� qr�� �5 <br />Slate License Number <br />Mail Address <br />Mail Address <br />-�rX�4 �2NS, ���'F�C � � Pt1c� <br />Proposed Use of Building <br />City <br />Stalc2lp <br />Slale2ip <br />.� 3, sov. c�G <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Descriplion o( Work to Be Done: � A)CTH C.L(� /�rr cv (aYl � 7� �� � A/"Z�S <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVEREiT LOCAL SALES TAX CODE IS 3105 <br />I hereby certity fhat 1 have read and examined this application and know the same to be true and <br />cor, ecL All provisions ollaws and ordinances governing fhi- type o/ �vork �vill be completed <br />whether speci�ed herein or noL The granting o� a permd does not presume to give authonh� to <br />violate or cancel tlie �rovisions ol any other state or local law regulating construction or the <br />performance ol consfruction. That 1 am authonzed by the owner of this property to paAorm the <br />work (or which application is made and I compty with the Sfafe Co�rtractors Law 18.27 RCW and <br />296.200 WAC. <br />�GsoCo -D! � <br />FEE <br />Phono <br />Phone <br />