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ELEC�RICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVE��ETI', WA 98201 y—o`��`�« <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org ���d c�. ._.�� � <br />APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />I�I� PIPN.Q �s <br />PROJECT ADDRESS <br />Tenant <br />Electrical Contractor <br />�� SS c21 � 3 1'2�,c <br />Slate License Numher <br />'(�C�IC�P I" I ��0�. ��I <br />Proposed Use of Building <br />Mail Address <br />Mail Address <br />Mail Address <br />City <br />City <br />Cily <br />,oj aoCc-zoo-73a <br />Slate/Zip Phone <br />S:ate/Zip Phone <br />Slale/Zip <br />Contract Price of Work <br />ContactPerson (Plan Review) <br />n � �� � � �' bc�4,.-�..,-i horl�co�,� -t� <br />Description of Work to Be Donr.: �'F.�n1C`t x�l T. .-.��J1� SOe�h�4- COtw <br />Phone <br />nc'{r�� P�Oc' �'r��c: �ti.�� �ot '�" — _ <br />NOTE: W IRING IN NON-DW ELL.INGS IS REQUIRED TO <br />BE IN RACEWF'� S, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />1 hereby certily (hat I have read and examined fhis applicafion and know fhe same to be We and <br />correcL All provisions o( laws and ordinances governinp fhis type o( work will be complefed <br />whether specified he�ein or noL The granling o( a permd does nof resurno fo give authonty to <br />violale or cancel the provisions or any ofher state or local law reguPlinr con<fnic6on or the <br />perfomiance o/ construchon. That I am aufhorized by the owner oI this property ro perfomi fhe <br />work (or which application is mane and I cemply wifl� fhe Stafe Contracfors Law 1827 RCW and <br />296.200 WAC. <br />FEE <br />��t � �a�� <br />