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( <br />{� <br />ELE�TRICAL. PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SEFiVICES -7_ab-�2 <br />3200 CEDAR STR.EET, EVERETT, WA 98201 J <br />425-257-8810 - FAX ��25-257-8857 — wvuw.everettwa.org �/'ZQ '� "� 3 0 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� l � �i � ��2reN M a f I /,v ^� � ( ,'Z <br />PROJECT ADDRESS <br />Owner Mail Address City <br />Tenant <br />Elaclrical Contraclor <br />I�NtT'�u� 933 $1' <br />State License Number <br />Proposed Use cf Building <br />Mail <br />Mail Address <br />Square Footage (If resldeMial new conslruclion, remodel or addition) <br />Descriplion of Work to Be Done: <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 />City <br />StalelZip Phona <br />� <br />-(f l o-�— �+12y,e.ft w b �'�� <br />� State2ip Phone <br />� W/'r /��7 <br />Slale2ip Phona <br />� �'`� - <br />Contract Price of Work <br />Contact Perso (Plan Review) <br />1 hereby ce�tify that 1 have read and examined this applicafion and knaw the same to 6e true and <br />correcf. All provisions ot laws and ordinances goveming this type o(work wi116e completed <br />whetherspeci�ed herein ornof. The grenting o(a permit does notp rasume to give authonty to <br />vielate or cancel the provisions of any otherstate orlocallaw regulating construction or the <br />per/ormance ofconstruction. Thaf 1 arn authorized by the ownero/this property to perform Ghe <br />work for which applrcafion is made and 1 comply with the State Contractors Law 18.27 RCW and <br />90fi 900 WAC. <br />FEE <br />� O� <br />��zo� - l3g <br />