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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 />`�93�� �ul.c�o�t.l D�- <br />PP.OJECT ADDRESS <br />s7�v;r,/i��r�� ��r�e�r�i �9.3o r�occ�oou r)2, �'v 9d'���1 <br />Owner Mail Address City State2ip <br />yzs <br />15d' <br />y6:� z <br />Phone <br />Tenant Mail Address City Stale/7ip t/zPl�one <br />7 ) <br />fc��Z�/Jrl� S�S :��,o� �Vktt�IT �f.V ��/Fcrlk/% (.� `j,�'1oi �s9z,�,/ <br />Electrical Contractor hlail Address Ciry State2ip Phone <br />State License Number <br />S; t. /Z- <br />Proposed Use of Building <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Wark to Be Done: �L C4.� i/[ 11V iC f i�/J� � 1�- ����'l %Z '�M �Zk'�(�UK L <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />8E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br />1 here6y certify that I have read and examined this application a.�d kno�v the same to be true and <br />correct. All provis�ons o/ laws and ordinances govemmq fhis rype of work will be completed <br />whether specihed herem cr net. The �ranting of a permit does not oresume to grve authoriry to <br />violate or cancel the provisions of any other state cr local law regulafing construcfion or the <br />peAormance o! construcLon. That / am authonzed by the o�vner o( this property to pedorm the <br />wo�k fcr which applicaticn is made and 1 compty with the State Contractors Law 78.27 RCW and <br />296.200 Ih�AC. <br />% <br />�� <br />� <br />FEE <br />C i� <br />SS <br />