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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVEREZT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 6� a�-�O <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org ��o0 6-� 3-3 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��� SGe ��-r.�si� /'�'4 // �'t'/ <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mall Address <br />%8oa <br />Mail Address <br />_4d�,GCNIO�i�1�/ �% <br />S te License Number <br />_ � . ., ��, ��J <br />Prapose�se of Buflding <br />Description of Work lo Bo Done: <br />City <br />Cily <br />City <br />�.���� � » � <br />Slate2ip Phone <br />< �i%y �/ w % �vy�r f� <br />S ale/Zip Phone <br />� ����/� ��>� yz�-'s'yy.T� <br />Slate2ip Phone <br />Y�C� _� <br />Co❑ t Price of Work <br />% S��j <br />Conlact Person (Plan Review) <br />�%J�)�p �� ,% <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examinad this application and know the same fo be (rue and <br />correct. All provklons of l2ws and ordinances goveming fhis typo o( work will6e compfeted <br />whether specified herein or noL The granting of a permd does not presumo to give authodty to <br />viola(eorcanceltho roWslonso(an}�othersta(eor/ocal/awreguletingconsfrucfionortfie <br />per(omiance of cons�rucfion. Thaf 1 am authorized by ihe owner of tlils property to perfomt tlte <br />work for which appllcafion is made and 1 comply with tho State Contraclors La�v 18.27 RCW and <br />296.200 WAC. <br />'' � . 7��. ��/t�� C��Z <br />