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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMI� SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ZZ8' S'cc/ �i�-��-� f'`%-L._ LU�y <br />PROJECT ADDRESS <br />Owner <br />�D <br />Tenant <br />Mail Address <br />Mail Address <br />Clly <br />Cily <br />Slale/Zip <br />Slale2ip <br />Phone <br />Phone <br />�I%-r�do�-cK Gl/,.e�,✓U .S�z�/i�� �zc�/ /��� s�.� S�rz� L(/� 9�P`/�v <br />Eleclricai Conlraclor Mail Address Cily Slale2ip Phone <br />ZG6 -Z?y - O/�% <br />N�Tzvc-�r�s 9 � S�� <br />Slate License Number <br />�� 77f /L_ <br />Proposed Use of Building <br />�` 52GY� � <br />Conlracl Price of Work <br />J��r"J �_ ��4 Cn'4 <br />Conlacl Person (Plan Review) <br />Description of Work to De Done: �^�Sr�9zuv 770"� c7!-� !/D/G£" 7; l��' i�t G��Pi�r'r <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 />1 hereby cerfi(y lhaf I have read and examined this application and know fhe same to 6e true and <br />correcf. All provisiais of laws and ordinances �overnmg this fype o( work will be complefed <br />whether speafied herein or not The granting o(a pemut does nof presume to give authonty to <br />violate or cancel fhe provisions o(any ofher state orlocal law regulafing construction or the <br />pedormance o/ construction. rhat I arn authonzed by tho owner of fhis property to perfomi fhe <br />work for which application is made and 1 comply with fhe Sfate Confractors Law 18.27 RCW and <br />296.200 WAC. <br />7`� <br />FEE <br />