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ELECTRICAL PERMIT �PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR�ET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />�o -� s-oy <br />� Ota l�}—D(aj <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />� �� -�z� rl�l��/�.s�� 5f <br />�� <br />PROJECT AGDRESS <br />� <br />Owner <br />o �r�ic� S �LC' <br />Mail Address <br />�r�� �n�7 <br />TeHSfit- Mail Address <br />����� <br />Contractor <br />Mail Address <br />Stale License Number <br />,�e.Si��/�i%��i� <br />Proposed Use of Building <br />Description of Wark to Be Done: /��•E' /�C% <br />g�a7 �U� // �/ f <br />Ciry �/�{ l-f'6�tate/Zip <br />d <br />„ <br />City State,4ip <br />City <br />r <br />State2ip <br />/� ' ljft�Y <br />��7Yoh��6G <br />Phone <br />Phone <br />•�ontract Price of Work <br />�i�,'L ��ri-rYi <br />Contact Person (Plan Review) <br />�G1i'�y' �'✓ % �� 5 `�-�-� a `,`��...% J <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALE i TAX CODE IS 3105 <br />I here6y ceRify that / have read and examined this application and know the same fo be We and <br />correct All provisions of /aws and nrdinances govern�ng this type o/ work will be completed <br />whether specified herein or not The granting o/ a permrt does not presume m give authonty ro <br />violate or cance/ the provisions of any o:her state or local law regulating construchon or the <br />per/ormance o/ construch�n. rhat 1 am authonzed by the owner oI th�s property ro peAorm the <br />work (or which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />��a ��nn inmi� . <br />, q i a,(� <br />� <br />