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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 />�l��i SC � C��m n���i�-�- �"� � `� � <br />PROJECTADDRESS <br />`!�'`( ��c(�a�1G—SS �•f� <br />L!_ G, <br />Owner Mail Address <br />City <br />Slale/Zlp <br />q --,�-0 9' <br />c�o9�-06.6 <br />Phone <br />��f M �'� �n�i F�2iL5 <br />Tenanl Mail Address City Slale/Zip phone <br />�1�/P�c �}i�� iANirrwC_ <br />Eleclrical Conlraclor Mail Address <br />'�r� i/%•'kc; ��/ E�C <br />Slale License Number <br />h �� / %1 t L. <br />Proposed Use of Buildin� <br />� � r <br />�escriplion of Work lo �o Done: �� � �%�t`��'�� � <br />NOT[: W IRING IN NON-DW ELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETP LOCAL SALES TAX CODE IS 3105 <br />City <br />Slale/Zip <br />� <br />.�oCJ.c,� � <br />Conlract Price of Work <br />Conlacl Person (Plan Review; <br />I hereby certify Ihaf 1 have read and examined fhis application and know fho sarne fo be truo and <br />correct. All provisions olla�vs and ordinances govemmg this type o( work will6o completed <br />�vhefher specified herein ornoL The granting o(a pormd does not resume fo give authonty to <br />violate or cancel lhe provisions o/any ofher sfafe orlocallaw reguPting construction orfhe <br />per(orrnance o/ construction. That 1 am aufhoiized by the owner o/ this property fo pedomi the <br />work for which applicafion is made and 1 comply wifh fhe State Contractors Lmv 18.27 RCW and <br />296.2\WAC. � <br />'� � �� ,� �r�/7�a j <br />� �:� c�_ <br />FEE <br />� CJ�i��� U6(� <br />Phone <br />