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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3?_00 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 NOT ACCEPTED <br />L�y3Z �-1GU$ Ave, <br />PROJECT ADDRES <br />Owner <br />Tenanl <br />'�,-tzc� Fj�c1�� �� <br />Electrical Contractor <br />I.t�TECFc �r7�61 <br />State License Number <br />Praposed Use of Building <br />Description of Work to Be Done: <br />�I i�3 Z I-� � <br />Mail Address <br />Mail Address <br />. zr tit r� <br />Mail Address <br />GV S <br />NOTE: WIRING IN NQN-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Ciry <br />Ciry <br />City <br />cv,(c <br />��, yxzo7 <br />State/Zip Phone <br />i � <br />�S le/Zip Phone <br />�vA �� z1'� (y�)v�-c <br />State/Zip <br />��G, �� <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />2� <br />1 hereby ceRify that I have read and examined this application and know the same to be true and <br />correct. All provisions ollaws and ordinances goveming th�s (ype of work will be completed <br />whether specilied herein or not The granting ol a permit does not presume (o give authority to <br />violate or cancel the provisions of any other state orlocallaw regulating construction or the <br />perfermance o/ construc6on. That 1 am authorized by the owner of this property to peAorm ihe <br />work for which application is made and I compty wifh the Stafe Contractors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />E oy:a-oGq <br />Phone <br />