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ELECTRICAL PERMIT APPLICATlON <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 />!�1� � ��G1(;�iCGr� <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />��1i11i�1�+ � IC <br />Eleclrical Conlractor <br />m�S <br />Wail Address <br />Mail Address <br />n�, (a�C <br />Mail Address <br />S�� �nm � � � ����'> k 7_ _ <br />State License Number <br />S;�nc�l� T-�am�lia �e�;�l�n�� <br />Proposed se af Building <br />Doscriplion of Work lo Bo Done: <br />City <br />City <br />Cily <br />Stale/Zip <br />State/Zip <br />Stale/Zip <br />�a-�la <br />�D 6��--Dl <br />�._; a-r> . <br />Conlrecl Price of Work <br />Phane <br />Phone <br />-a � I <br />Phone <br />l ��� .l� r >-,�r�� n,�l���tn'ra I <br />Conlact Person (P�an Review)���-��('j <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 />1 hereby certily Ihat 1 have read and examined this application and know the same fo be frue and <br />correcL All provisions o/ faws and ordinances �overnmg Ous type ol �vork will 6e completed <br />whefher speci(ed herein or noL The granting o( a pennd does not presume to give authonty to <br />violafe or r.ancel the provisions o(any ofher state or local law regulating construction or the <br />perfonnance ol cons(n�ction. That l am aufhonzed 6y fhe owner ol this properfy to perfonn the <br />work Ior which application is made and I comply u�ith the Sfafe Contractors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />���^��i��� <br />