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� <br />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 FROM 8 AM TO 4 PM <br />%�o SC 6cJe/ct�f l%IG/� G�l a/ <br />PROJECT ADDRESS <br />��ab /o <br />�IOo �-IS7 <br />� J l�' els 1'0, �.,�. �,-�n-.�. l <br />Owner Mall Address City State/Zip Phone <br />Tenant <br />Eledrical <br />Mail Address <br />t:0• <br />Adtlress <br />C�N��1� �'M�'t53t�T <br />State License Number <br />�c7�f'+�e/Gi4� ��`fC�G2r <br />Proposed Use o( Building <br />Ciry <br />City <br />StalelZip Phone <br />`tZ5•f37-1•l <br />StatelZip Phone <br />%�-�a <br />Contrect Price of Work <br />Contact Person (Plan Review) <br />Description of bVork to Be Done: i e� �GG��C- �2. � -�-� q'/?., C] �i7 S <br />�lOTE: WIRING IN NON-DWEL�INGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! nereby cerlily that 1 have read and examined this applica�ion and know the same fo be We and <br />;;necf. All provisions of laws and ordinances goveminp Ihis type o/ work will be completed <br />��netherspecilied herein ornoL The grenfing o/a pemiii does nof presumo fo give authunty lo <br />i, .�ate or cancol lhe provisions oI any other state or local law regulafing conslruction or fhe <br />certormance o/consWclion. That I am authonzed by fhe owner o/ fhis property (o pec orm fhe <br />��. ;�'r. !or which application is made and I comalv with the Sfale Conlrectors Law 18.27 RCW and <br />FEE <br />�lOb �.��5`�- <br />