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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 a- a j-I �- <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org ��� a_��� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />����ES �°' � �,� <br />Tenanl <br />. a�t';L �S ! <br />ElecLica� Contraclor <br />Ui ���� 5 e <br />Mail Address <br />Mail Address <br />City <br />City <br />� %3l 'LSa-f"� 5t- �/N' �`; <br />Mail Address <br />L � � �� < `� <br />State License Number <br />Proposed Use of Building <br />City <br />State/Zlp <br />SlatelZip <br />Phone <br />Phone <br />��.��'�A- Zg'1�2 360 6?A <br />Stale/Zip one <br />� ��L�t�, vo <br />Contracl Price of Work <br />Contacl Person (Plan Review) <br />Descripfion of Work to Be Done: W 11 Ye.. I G`"� SC/i T� %�1-��'! /�1��L—�-�—� Q• <br />-�i � �i.�� /v c+ / �4�,/e.o.,�.� {iI _ K P �(�J/ ��GYJ `!' �IuC-, I�L✓H S/�!�/3" <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 3705 <br />1 hereby certily fhaf 1 havo read and exairined (his application and know Ihe same ro 6e We and <br />correcL Afl provislons o/laws and orriinances goveming fh�s type o( work will be comp/eted <br />whefher specified herein or noL The grantinr� o( a pemid does nof resume to glve aidhonfy fo <br />viola(e or cancel fhe provisions o/any other stato or local law reguPting construclion or fbe <br />performance ol consWcfion. Thaf 1 am authonzec+ by fhe ownor ol this properiy to pedami fhe <br />�vork (or which applicafion is m&do and I comply with fhe Sfate Con(rectors Law 18.27 RC W and <br />296.200 WAC. <br />2.- 23-20/� <br />FEE <br />i � 2vL- 132 <br />