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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERElT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />I�ta? � r,��{- �UII ��� <br />� <br />PROJECT ADDRESS <br />�xr �Ih�II.G� <br />Owner A9ail Address City Stale/Zip Phone <br />Tenant <br />Elecirical <br />WDZ 5� <br />Mail Address <br />Address <br />C,�M �� �`� R5 3 .,h�� <br />Staie License Number <br />Proposed Use of Building <br />City <br />City <br />Slate/Zip <br />�,w Y� <br />State/Zip <br />ZW .1/V <br />Conlract Frice of Work <br />(�Ue �'crV�s <br />Conlact Person (Plan Review) <br />Descriplion of 1M1'ork to 3e Dune: �ST�t �I � � 5�G I l _ ___ <br />NOTE: WIRING IN NON-OWELLINGS IS REQUIRED TO <br />BE IN RAC.EWAYS, MC OR AC CABLE. <br />CITY OF EVEh�TT LOCAL SALES TAX CODE IS 3105 <br />I hereby cedily thaf 1 have read and exarnined this applicatinn and kno�v fhe same to be Irue and <br />correct. All provisions of 12ws :,, •�' �rdinances governmg this type o( �vork wili be complefed <br />whether speci6ed herein or noL �ie granting o/ a pernut does not Aresurne to give aulhonty (o <br />violafe or cancel the provisions o(any ofher sfafe orlocallaw regulating construc6on ur Ihe <br />peAormance ol construclion. That I am authorized by the owner ol (his properly to peAonn the <br />work lor which applicat�on is rnade and I compty with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />Phone <br />Phone <br />FEE , <br />r) ,.'�., C.. <br />� _� �. <br />