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EL�CTRiCAL PERMIT APPLICATION <br />CITY nF EVERETi PERMIT S�RVICES <br />3200 �EDAR STREET, EVERETT, WA 98201 <br />425-257-8$10 - FAX 425-257-8857 — wwvd.everettvda.org <br />APPLICATIONS ARE ACCEPTCD FRC1M 8 AM TO 4 PM i- a 3-G ,7 <br />r � <br />� � � 1 j��t,�i � Vl <br />PROJEC;'ADDRESS <br />� <br />!r � � <br />��/t i Y�G"'• !�' �� 1.7� <br />Owner <br />�� <br />Tenanl <br />Eleclric2l ConUeclor <br />Stale Lir.ense Number <br />•J <br />r,de <br />��� � <br />5!��� �e����. � <br />Mail Address <br />Mail Address <br />R1ail F�Jdress <br />City <br />City <br />Ci(y <br />Proposed Use of Building <br />Descriplion of W ork lo Be Done: _� I�� /��� �L I' �� � e L��( � C <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Slale/Zip <br />Stale/Zip <br />State!Zip <br />�" ri C% � � '� <br />C_ i_• i - . . � <br />L� � °i ; `:� 4 1;`r� <br />Phone <br />Phone <br />Phone <br />Conlract Price o( l"Jork <br />Conlacl Person (Plan Review) <br />_ � <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />1 hereby ceriil}� that I have read and examined this application nnd know fhe sanie ro be true end <br />corrc-ct. All provis�ons ollaevs and ordinances goveming fhis type ol �rork will be completed <br />�rhether spealied herein or not. The granfin� o(a pernut does nof presamo fo give aufhonty to <br />violate or cancel the provisions olany other state or local la�v regulating consfrucfwn or fhe <br />perfom�anr,e o/ construcfion. To�t I am aufhonzed by the o�rner o! fhis property fo pedonn fhe <br />�vork lor which application is n'adp and 1 comply wifh fhe State Confractors La�v 18.27 RC�1� and <br />296.200 WAC. �� � ( <br />I <br />�-- . . F., 1 � <br />FEE <br />.+. � - — �.�� <br />� r�. � <br />/ : !_. <br />