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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERET'T PERl�IIT 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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />��3,Z .(,� �aeo ,4ri� . E;ier�.�1` 9�za 3 <br />PROJECT ADDRESS <br />/7-o,�r�' �SasE Co(.�2 �ersr,ro .�.� F-c�rc#" u� 4�,zo3 �cS �7f1-� <br />Owner Mail Address City State2ip Phone <br />—� <br />Tenant <br />Mail Address <br />Cily <br />StatelZip <br />Phono <br />�/r/EIP. <br />Electricai Contraclor Mail Address City State2ip Phone <br />5tate License Number <br />�Gt/E/li,t! 9 <br />Proposed Use of Buii ng <br />Conlracl Price of Work <br />/<cO�Cs^t" /�y-.>t <br />Conlacl Person (Plan Review) <br />Descriplion of Work to Be Done: �/�iI�1/�2-- O�6*°-!%<Ge i�i1/I��— /L�U iG/�PG(� <br />_S�!��ZCLG%T.5 % (I .8 14-.A�E!' <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CObE IS 3105 <br />1 fiere6y certi/y fhat 1 have read and examined this applicafion and know the same to bcr true and <br />correct. All provisions o/laws and ordinances govemuig this fype of work will 6e complated <br />whefher speci�ed herein or not. The granting o/ a permit does nof presume tn give authority to <br />violate or cancel the provisions o( any ofher state or lor,al law regulating construcfion or fhe <br />peAormance o/ construction. That I am aufhorized by the owner o( fhis property fo perform fhe <br />work (or which applicafion rs made and 1 comply wilh Ihe Stafe Contractors Law 18.27 RCW and <br />296.200 WAC. <br />� <br />S <br />FEE <br />�050&-083 <br />