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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES g` i� � p <br />- 3200 CEUAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org ��QO ���g <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />IL'L ��E �U° G-�� 1(I�iIL WR-1 <br />PROJECT ADDRESS <br />Owner <br />�'��``sf �`Qt <br />Tenant <br />9 I� �I <br />'ld�Gu:Lnf )Oc�1i.Jl <br />��s���� L '�9'I I'�r1 <br />Slate License Number <br />Proposed Use of Building <br />Mail Address <br />Mail Address <br />Mail Address <br />Cily <br />Ciry <br />Ciry <br />Slate2ip <br />Stale/Zip <br />�ff Sf�S7 <br />State2ip <br />3,y�°I `�� <br />Contract Price of Work <br />P� F 5� <br />Contacl Person (Plan Review) <br />Phone <br />Phone <br />'7Z ��5�; <br />Phone <br />Description of Work lo Be �one: <br />�lh�.. � �'oati F r���, �5 �� �.�h� ;��� �_,s., <br />cfr <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />,� � <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi(y that I have read and examined (his application and know tbe same to be true and <br />correct. All provisions ollaws and ordinances governing this type oI work will be cumpleled <br />whefher specilied herein or noL The granfing ol a permd does nol resume fo give aufhonty fo <br />violate or cancel fhe provisions ol any ofher state or local law reguPatine� consfruction or Ihe <br />perlormance o/ construc(ion. That 1 am auUiorized by (he owner ol lhis propeAy to perlorm Ihe <br />work lor which applicalion is made and I compty wilh fhe Sfafe Contractors Law 18.27 RCW and <br />296.200 WAC. <br />2e <br />FEE <br />�_ 1 vU� - p�� <br />