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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 '� "g `"�� <br />425-257-8Fi10 - FAX425-257-8857-wuvw.everettwa.org C 1-��b_pC.� <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />22g 5�J E��.,�t4� y�Al� l�a <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />?z8 5� E <br />Mail Address <br />Eledrical Cantrador � -� Maii Address <br />l�nlIJE21 0001�c� <br />State License Number <br />O��Lt /�1:���1 /(,�A2CNoU5E. <br />Pmposed o1 Bui ing <br />Descripiton of Work to Be Done: <br />t�ii2i��C.s�� <br />�—� <br />City <br />�II �l <br />Ciry <br />�i lut f�6 <br />City <br />S. e IE �A . 9� ld� <br />State2ip Phone <br />��E�� �l Q 98a 28 <br />�stelZip Phone <br />State2ip <br />a 00 <br />� �U�� <br />ConUaq Price of Work <br />Contad Persan (Plan Review) <br />Phone <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />FEE <br />� Q� <br />I here6y ceAi/y fhat I havo read and examined Ihis applicafion and know the same fo be hue and � � �( n/_ ��' r� <br />correct. All provisions ollaws and ordinances govemmg this type ol work will be complefed <br />whe(her spec�ed herein or not. The granting ol a permr( does not presume fo give authcnty (o ��C �'�(� 4 <br />violate or cancel the provisions ol any ofher sfafe or local law iegulafing consfruction or the <br />peAormance olconshucGon. 7ha( I am authorized by fhe owner o/ fhis property fo per/orm fhe <br />work lor which application is madga nd 1 comply with the S!a(e ConVacfors Law 18.27 RCW and <br />296.200 WAC. _ � / i <br />