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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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />331Z FeD��az �11��1T <br />PROJECT ADDRESS <br />�A-M A�E !V� 33/2 Fe� <A �— £va4�-7r wa . �:z�-zs�► _ � z 3 U <br />Owner Mail Address Cfty State/ap Phana <br />Tenant• <br />Mail Address <br />Clty <br />Shale2lP Phona <br />4�e5 -52� <br />��G�cT /.;�T/t�e.�Ki}'"i�lN P0,3. Ifd � SA.CPIl�twFsr! u�A' 1pu', I �`�iGii�' <br />ElecVical Contractor Mail Addrees City Starolnp Plwra <br />� ��� � q�S�s �l/0/2-��� .��.� <br />State Licens�mber ' Contract Price oi Work <br />IK/ML� e�M/1�Yt- <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: ���i_ry �4 �-fFjiGj�, f- Sl3�JT.G� <br />NOTE: WIRING IN NON-DN'ELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />y certi(y that 1 have read and examined this applicatlon and know the same fo be true and <br />All p�ovisions ollaws and ordinances govemmg th�s rype o/ work will be completed <br />r specified herein or not. The granting of a permit does not presume to give authordy to <br />or cancel the provisions ol any other state or local law regulating construcBon or the <br />iance of conshuction. That I am authorized by the owner o( fhis property to peAorm the <br />� whlch application is made and I comply with the State Cont�actors Law 18.27 RCW and <br />FEE <br />:� yrr �2- <br />