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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 <br />1Q�QG1 ��cV�� /�4 <br />PROJECT ADDRESS <br />� v 1=,r r/orr <br />Owner <br />Tenant <br />�=� �i� <br />Mail Address <br />Mail Address <br />.5� 1�-0� \ <br />Cily <br />Ciry <br />k- �8 <br />State2ip <br />Stale/Zip <br />Phone <br />Phone <br />�ILJ'� C I'���i � L '��J � '}'�'N` .ST �i,., i. ) /i' clF�io � • '�`ZaU ".���"�2 <br />Electrical Contreclor Mai� Address City State/Zip Fhone <br />I� /t ' `-! ��e � ✓11� <br />Slate License Number <br />Proposed Use of Building <br />Descriplion of Work lo Be Done: �6 G C� ,P � � L <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 3705 <br />�( UU J� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />1 hereby certily fhat I have read and examined this application and know the same to be frue and <br />correct. All provisions ollaws and ordinances goveming this type o/work will be completed <br />whether spealied herein or not The granting o( a pernut does not resume to give authonty to <br />violate or cancel the provisions o/ any ofher stafe or local law reguPting construction or fhe <br />peAormance o/ construction. That I am authorized by the owner o/ tfus property to peAorm fhe <br />work for which application is made and I compty wifh the Sfate Confractors Law 18.27 RCW and <br />FEE <br />r-_���- -;�5 <br />