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ELECTRICAL PERMIT AF'PLICATION <br />CITY OF EVERETT PERMIT SERVICES /� —�i --r� c� <br />3200 CEDAR STREET, EVERETT, WA 98201 r� 4 � a,�g3 <br />425-257-881 G- FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />7��f �I�clz�,��EN l�V�y -�C,_� <br />PROJECT ADDRESS <br />OwnFr 64ai1 Address City <br />� j�LO�K _ <br />Tenant MailAddress <br />/� RrDO i�6 � �� %��� � l� 3 v N <br />Electrical Contractor M1daii nddress <br />1�21D)��`O61 �? <br />Stale License Number <br />1 �r�n�� /'uA� <br />Proposed Use of Building <br />Ciry <br />AN���'s K <br />City <br />,L� �%�ti�(;, <br />State/Zip <br />State/Zip <br />% <br />i� ! �N'NWc7 d� Gt/�i <br />State/Zip <br />3.�ov. Uo <br />Contract Price of Work <br />Description of Work to Be Oone: /�/�iA,L''i .�A1%��ddcM 1�v i� <br />PIOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Phone <br />Phone <br />��v�( <br />Phone <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily that I have iead and examined this application and know fhe same to be true and <br />conecL All provisions ollaws and ordinances goveming this type of werk �vill be completed <br />�vhether speci�ed he�ein or not The granting of a permd dces not presume to yive authority to <br />viclale or cancel the provisions ol any other state or local law regulatir,g construchon or the <br />oerformance c/ construc6on. That I am authonzed by the ovmer of this property to peAorm the <br />.vork for which application is made and I comply wifn the State Contractors Law 18.27 RCW and <br />%�'/i•G✓ <br />\ <br />FEE <br />