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( <br />ELECTRICAL PERMIT APPLICATION <br />� CITY OF EVER�TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�S�u `JE �vf�2£TT r�A�.t WAY S,�rre. �- <br />PROJECT ADDRESS <br />r <br />Ownor <br />Tenant <br />Mali Address <br />Mail Address <br />Ciry StateOJp <br />:.%t mA��_ uAy ��. �vEl� <br />�City StaleZp <br />10 -03' GI <br />C-111o'A03 <br />Phone <br />7Y 2oK <br />Phone <br />�^nt��� G�2L 1TIeU'7 84?p AJ6. 1.1�C. �t41NG'S'Onl WA 98223 4z5 244 �N45' <br />EleCtrical ContractOr Mail Address Clty Slate2lp Phone <br />Sn2r�2¢S93�w.t 17Sv `=- <br />State License Number Contract Price of Work <br />Proposed IUse oi Building Contact Persr�i (Plan Review) <br />Description of Woik lo Be Done: �� ti� ��-A2� �T %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 />1 here6y certily that I have read and examined this applicaflon and know the same to be true and <br />correct. All provlslons of laws and ordinances goveming this rype of work will be completed <br />whether specified herein or not. The granling o(a pennit does nof presume to give aufhority to <br />violate or cancel the provislons of any other state or focal law regulating construction or the <br />performance of construction. Thaf 1 am authonzed by the owner o( this property to pertorm the <br />work /or which appllcatlon !s made and 1 comply with fhe State Confrac(ors Law 18.27 RCW and <br />29G.200 WAC. <br />FEE <br />