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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �_ 3.-0� <br />425-257-8810 - FAX 425-257-8857 -www.everettwa.org � �C �a —�I� <br />/ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />r��;��-: ��; -% ��/�;i/�' _ <br />PROJECT ADDRESS <br />� <br />;/Ci; <br />Owner <br />Tenant <br />/ l '.. /J��jJ1C� f� l <br />M11ail Address <br />Maii Addiess <br />� o � n, <br />cl �l q i/i <:!� %-.i!_%//; %/!�/� / � Jc <br />Cily Slate/Zip <br />Cily <br />/?v'�3 �i%. �i�' � ��1 �- /�'�'r.l'r, �/F /�'r/r��,�� <br />FlecUical CoNractor Mail Address C�ty <br />/t%3,��� ��" i9/,/�/9 �3�� ��� <br />Slale License Number <br />�/�/Z- <br />Proposed Use of �uilding <br />State/Zip <br />�� <br />State/Zip <br />(, "✓ i % ✓ i l i� <br />P:iane <br />Phone <br />�- 7�ti�rrZ <br />Phone <br />Conlracl Price of Work <br />Contacl Person (Plan Review) <br />/�� I//A �q • <br />Descriplion ef Work io Be Done: _ %t���% /��`�'� �� v«�l `/ ������ <br />NOTF: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby �'ertily fhal I have rcad and oxnnuned Ihis applicafion and kno�v tlie same lo be true and <br />correct. All prorisfons o!ln�vs and ordinances govemmg this type ol work �rdl be completed <br />whether speci6ed herein or noL Tlie grantin� ol a permd does not prasume to giee au(hority to <br />vio/aie or cancel Ihe provisions ol any other stafe or local la�v regulafing constructron or tne <br />perlonnance o/construc6on. Thal I am authorized by fhe owner o/ this property to perVorrn fhe <br />work (oru�hich application is rnade and I comply wilh fhe Sfate Contracturs Law tA.27 RCW and <br />296.200 WAC. <br />.=�? �Ti =-� z/-�/�' <br />FEE <br />F��,��,---�'��" <br />, <br />