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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 FRJNI 8 AM TO 4 PM <br />IL107- 5 EIhFf%]L�J_l Ll WIII �Yt 3C <br />PROJECT ADDRESS <br />II �7-'/'2 <br />t5r121 / —,o"1 <br />S l% &wlrtt C4pria'rlrS 1$10e 00 ILA11.111ad US 00 1�you. ('A f ('17- Phone <br />Owner <br />Mail Address City State/Zip <br />` zz "- State/Zip YpO1C <br />Tenant n�1 Mail Address City <br />1'�Er21T 1'IE!'ur�NlC�?L,�Nc '11,30 153rD tF✓c �� ('iEDwt- v lah_ Z &qyj Z-7y <br />Stale/Zip Phone <br />Electrical Contractor Mail Address <br />City <br />1 <br />, Crcontract Price of Work <br />State License Number A <br />(ID111 111E,-Cn41 Contact Person (Plan Review) <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: <br />NOTE: E IWIRING IN NON -DWELLINGS IREQUIRED TO <br />RACEWAYS, OR AC CAB <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 I—reby certify that I have read and examined this application and <br />o work e s ti con,be true <br />and <br />correct. All provisions of laws and ordinances goveming this type <br />whether specified heroin ornot. The granting of a permit does not resume to give authority to <br />violate or cancel the provisions of any other state or local law regu atingof ��construction or the <br />pedomr which <br />of co licat o o's That/ <br />and I comply withorized h tthle State ContractorspLawy 18 27 RCW erform and <br />work orwhichapp <br />