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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42:;-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLIC:ITIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />S I� ..5� E�.E� I�%f�L L)�(fiY <br />PROJECT ADDRESS <br />Owne� Mail Adoress Ciry <br />Slate2ip <br />Phone <br />S r�4-R[� �c�=1�s <br />Tenant Mail Address Gty State/Zip Phone <br />�G �o ' <br />�rt���� l,d�- �x� r- S I LG"�� �#l4�1 �,a�r/� L�f.Q 95?Il,�� �t-1 —� <br />Electrical Contractor Mail Address <br />b f � t�Z -� l � �'.SS <br />Slate License Number <br />_COFFEE S6-��� <br />Prapased Use of Building <br />City <br />State/Zip <br />CoMrect Price af lAbrk <br />Contact Person (Pian Review) <br />Description of Work to Be Done: '�(,1 _ �{���2 �.�A�.� G, �LG� <br />Gl2G��� I �//bC� SF'S��✓j� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I here6y certify thaf I have �ead and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be comp/eted <br />whether speci�ed herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />peAormance of construction. That 1 am authorized by the owner of this property h� perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />Eo4G�-GT� <br />FEE <br />Phone <br />