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\ <br />EL�CTRICAL PERMIi 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 • DEBIT 8 CREDIT CARDS ARE NO7 ACCEPTED <br />%3 3 / � F�U /so� / <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Electrical Contractor <br />� /33/ ,r�,�v�s��a <br />Mail Address City <br />Mail Address City <br />�pa/ <br />Mail Address <br />��'c�+,USt' iyz «' <br />State License Number <br />Praposed Use of Building <br />City <br />�52 <br />�/�3! <br />w,F .q�'a�.3 <br />State2ip Phone <br />State/Zip , . Phone <br />State2lp <br />Contrect Price of Wark <br />Contact Person (P;an Review) <br />Phone <br />Description of Wark to Be Done: KiLvL�l uL FV.i/L �'���JZ � �jJ /.hJ. /i✓i//1 BLI�i�L� <br />/�.�/(I iL %, Gt /�l1 �G Ft %?k_ L� l/Lr`_ <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RAC[WAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3�05 <br />1 here6y certify that 1 have read and examined this application and know the <br />conect. All provisions of lav✓s and ordinances goveming this type of work w <br />whether specilied herein cr not The grantino of a permd does not presume <br />violate or c�ncel the provisions olany other state or /ocal !aw regu/ating con <br />perfwmance of constructiun. Thdt I am authorized by the owner o/ this prop <br />work lor which application is made and 1 comp/y with the State Contractors ( <br />296.200 WAC. <br />L'1 <br />FEE <br />�✓ � � <br />� to be true and <br />completed <br />�e authority to <br />!ion orthe <br />o peAorm the <br />8.27 RCW and <br />Foso� -ro� <br />