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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �_ � �_0 6 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org � 0609�� 7G� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � z i ? �'fSC�rV7 �V� _ <br /> PROJECT ADDRESS <br /> Ga::LI L',eJ��,� �JUS��UI� � 11�� <br /> Owner Mail Address City State�Zip Phone <br /> Tenant Mail Address � City Slate2ip Phone <br /> C .) /-- � �� V <br /> Electrical Conl�a lor Mail Address City State/Zip Phone <br /> 2,( � C��1.�-1- C 0�i�J'T . <br /> Slale License Number Contrecl Price ot Work <br /> Proposed Use o(Building Conlacl Person (Plan Review) <br /> Description of Work to Be Done: 1 — C�^.Q /��M� � t.FL�� S��17-- <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �S 0 O <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi�y fhat 1 have read and exarnined fhis application and Wio�v the same fo be We and � C—tC� <br /> conect. All provisions o(laws and ordinances govermng fhis type o/�vorh will be completed �(��(� �— <br /> whelherspeci6edherein ornoL The�ranfing o(a pernut does not resume to give aufhbrity to <br /> violafe or cancel Ihe provisions olany ofher state orlocal law reguPating conswction or the <br /> performance ol construcfion. Th�t 1 am aufhonzed by fhe owner o/fhis property to perform fhe <br /> work!or which applicafion is made and 1 comply with the Stafe Contractors La�v 18.27 RCW and <br /> 296.200 WAC. <br /> � ,// !�_9� � -��- � � <br /> ����( Date <br /> � Signa ure ��� <br /> / ' <br /> C; <br />