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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT t'ERMIT SERVICES <br />3200 CEDAR STREET, EVERETi, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />_ <br />, , � L_ <br />;,; � _ � � <br />PROJECT ADDRESS <br />!- �I. r' ? /� Yl1 t�i <br />Owner <br />Tenanl <br />�' �.�� � 7 % 1 <br />Eleclrical Conlractor <br />Slalo License Number <br />Pro�osed Usc of Building <br />APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br />���.�/,' l � <br />��f G�i �' f, <br />Mall Address <br />A1ail Address <br />Mail Address <br />DescnpPon of Work lo Do Oone: � 5 r` <br />! ., i <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />//�E L l'�t�/r/������. <br />Cily Slale2ip <br />Cily Stale/Zip <br />City <br />/� <br />State2ip <br />,fi�� _ ���' 7S <br />1�S�G 3 <br />Contract Price of WorF; <br />Conlacl Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereb}� certily that 1 have read and ex�vnined this application and knew the sarne to be frue and <br />correct All pravisions olla�rs and ordir�ances goveming this f}�pe of �rork �rill be cornpleted <br />whether spea�ed herein cr noL The granting ol a pemut does not resim�e fo give aafhonty to <br />violate or cancel the provisions ol any other sfate or local law reguPting constn�ction or the <br />perfomiance ol consfruclion. Tfmt 1 am authonzed by fhe o�t�ner o/ fhis property fo peAonn fhe <br />work lor which application is made and 1 comply with the Sfafe Confractors Law f 8.27 RCLNand <br />296.200 WAC. <br />` ,� �, 'i . .' �i�'�l�(�% '� n;�/1.' //(.�,'V~% �/��y / y %i L(L� <br />- � i <br />Phone <br />Phonc <br />Phone <br />l� <br />FEE <br />�v�i vS - a `� `� <br />