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ELECTRICAL PERMIT ,�F'PLfCATION <br />CfTY OF EVER�TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881U - FAX 425-257-8857 -www.everettwa.org Ci \ ��Z_`,L� <br />APPLICATIONS ARE ACCEPTED F�.,.�i 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />S�� L�r re � U/�i✓'L' <br />PROJECT ADDRESS <br />�d�-, �Jo <br />Owner <br />Tenant <br />Eleclricai Contrar.tor <br />S`% / ,Ca w <br />Mail Address <br />Mdil Addt055 <br />��Pv�� I.+c _ <br />�dail Address <br />%�Ri%/�C,�.1'rJ % %,�f! <br />State License Number <br />S�2 <br />Proposed Use of Building <br />Ci!y <br />City <br />Ciry <br />�-bs� 4-c�1y <br />State/Zip <br />State2ip <br />4J1� 9��� <br />State/Zip <br />Contract Price of Work <br />C�ntact?erson (Plan Review) <br />Description of Work to Be �:one: GM �a fl � �� ��`�� �PH � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRE!� TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVF'ETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily that I have read and ex:+mineo this applicalion and know tne same fo be true and <br />carecL All provisions ollaws and ordinances governmp this type of work will be completed <br />whefher speci�ed herein or not The granling ol a permrt does not presume to give authcriry to <br />violafe or cancel the provisions o(any ofher sfate or local law regulating construct,on or the <br />peAormance ol consrrucnon. That i am authorized by the owner of this property to peAorm the <br />work (or which application is made and I compty wifh the Sfate Contracters Law 18.27 RCW and <br />296.200 WAC. <br />Phone <br />Phone <br />3 6c, <br />yss=�a �. <br />Phone <br />FEE <br />SS // <br />