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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR 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 - DE81T 8 CREDIT CARDS ARE NOT ACCEPTED <br />�� � >�i) F��'✓C'i� �1 Rz� _ LI.�Y�-�/ <br />PROJECT ADDRESS <br />3• {j��,�� Pr���� C--1tr ,t z� stz� ti,� �Ac� ;a�ve„S R�2S8 4zs-zzc-��dl <br />Owner hlail AdOress Cily Slaler7ip Phono <br />� . 11> <br />Tenant <br />Eleclrical CoNraclor <br />� l:l-��C <br />Mail Address Cily <br />Ccr. (Ja n�� I 2�{ 1�I hi��-�`� 5"i <br />M1fail Address Clly <br />�T t�` T cl2 rC `� —? �� � � <br />Stale Licensa Number <br />� �V'�'��l• ��Z`-'.YlC <br />Proposed Use of Building <br />Slnle2ip Phone <br />S�ale2ip Phone <br />�!� �U <br />L�V� _ <br />Conlracl Pricc of Work <br />CoNact Person (Plar Rr,vie:v) <br />Descriplion ot Work lo Bc Done: � I�Oc'+� i rQ k(� rlf Cx ���" �yr -,l.�-Y�C <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 hcreby certily thaf 1 have �cad �nd exarnined fhis applicalion and knmv the samc fo be tn�e and <br />correcf. /lll provisions o/ laws and ordinances �overning lhis type o/ a-ork will br, contplefed <br />whefherspec�/icd herein ornot Thc r�rantiny o/a permrt docs nof preswne (o c7ive aulhonty fo <br />violafe or cancel the provisions o( any ofher state or local la�v regulating consfriichon or fhc <br />peAormance o/consVucfion. Tlmt I mn aulhorizeAby the owne� o/fhis property to pedorm thr. <br />work /or which appficalion is rnadc and 1 comply with Ihc State Confracfors Law 1827 RCW ar�d <br />296.200 WlIC. <br />� <br />FEE <br />