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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 — wuvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />,,l �� f'�d� Q1YI � � ( <br />PROJECT ADDRESS <br />(�n�u.a�a .S�.f <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Mail Address <br />City <br />State2ip <br />Phone <br />� R C �U��?2rG �asz �u�cc�rz�w� �3ez Er��estf, t,�,� s�2e� <br />Electrical Coniractor Mail Address Ciry Slate2ip Phone <br />L: RG e��a2 �s'�i Q al <br />Slate License Num6er <br />- ,� � �-f, <br />proposed Use of Building <br />Description af Work to Be Done: <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 />��6 � 640 `� <br />Contract Price o( Work <br />FYI �ZS'�03 06� 3 <br />ContaclPerson (Plan Review) <br />1 hereby certily fhat 1 have read and examined fhis applicafion and know fhe same fo 6e frue and <br />correct. All provisions ollaws and ordinances govemmg tlus type ol work will be complefed <br />whether spea6ed herein or not The granfing ol a perrmt does not presume to give authonty to <br />violate or cancel the provisions oI any other state or local law regulating construchon or the <br />per/ormance o/ consfruction. That 1 am aufhorized by fhe owner o/ thrs property to perform the <br />work lor which applicafion is made and 1 compty with the Slate Contractors Law 18.27 RCW and <br />29G.200 WAC. <br />�, .a�-, x�� <br />FEE <br />a <br />.� <br />