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E�E�TRICAL PERMIT APPLICATION <br />CITY OF EVERETT FERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 - FAX 425-257-8857 — www.everettwa.org � � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />C �: 3�'G �-c�.a 4 <br />L�r�n��-r <br />PROJECTADDRESS <br />Fnvi r�r��rn�.nfi�� I <br />L�ndc;r El��th� Svc. I��S� N�. IGth ;t. �c;ll�v�� 1���4. `I�3co5 <br />Eleclrical Coniracto� Mail Address City State/Zip �2 i� — �, ��— � 77 � <br />L/�IJDELS`I`liF�� <br />State License Number <br />C�rnn^�r�� �f i <br />Proposed Use of Building <br />Descriplion of Work to Be Done: <br />Contract Price of Work <br />Kr�Si h f� ftm� n <br />Conlact Per on (Plan Review) <br />NnTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. �� I• E C <br />> <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily that / have read and examined this application and know fho same to be tn.�e and <br />correcL A/l piov�sions ollaws and ordinances govemmq this type o/ work �vill be complefed <br />whetber spacified herein or not The granling o( a pennd does nol presume fo give aulhority to <br />violate or cancel fhe provisions o/any olher slate er local law regulafing construchon or the <br />peAormanco ol consWchon. That I arn authorized by fhe owner o(this propeRy to perlomr the <br />work lor which application is made and 1 comoly wifh Ihe State Contractors Law 1827 RCW and <br />296.200 WAC. � <br />� I^�.1��^ <br />