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ELECTRICAL PERMIT APPLICATION <br />CITY OF EV�RETT PERMIT SERVICES <br />3200 CEDAR STREE7, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FF�M 8 AM TO 4 PM 7- 5-�' � <br />--, — • �. <br />� ��I �� LCO,�n,�� � (�, <br />PROJECT ADDRESS <br />Tenant <br />Electrical Conlraclor <br />State License Number <br />� L� <br />Proposed Uce o( Building <br />�_SI� <br />Wail Atldress <br />Mail Address <br />A7ail Address <br />rOl� r��' I� �i(� <br />Ciry <br />City <br />City <br />�07o�-oa� <br />��'�C�� , C��f�, <br />Sl2te/Zip <br />State/Zip <br />StaielZip <br />Conlracl Price of Work <br />Q��G � <br />Phone <br />Phone <br />Phone <br />Contact Person (Plan Review) <br />Descriplion of W ork lo Oe Done: <�l!-'C�� �C L� 'Ptiv`" � i'�.��-�Q � C{�L (j �� � I�� <br />�� <br />_,"' ���' S� iV � C�, c�.� �AT� F�SC �� Q���6�ICr`�S <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />8E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cedily that I have read and examined fhis application and kno�v (he sarne to be frue and <br />correcL All provisions o/ la�rs and ordinances govemmg Ihis type o( �voik �rill be cornpleted <br />whether specilied herein or not The 9ranling ol a pernut does not presume to give authonty fo <br />violate or cancel the pravisions o/any ofher sfate orlocal la�v regulating consfrucfion or fhe <br />performance o/consfruclio�i. That I am authonzed by the owner oRhis properiy fo perferm ihe <br />�vork lor which applicafior�iS made and 1 comply wiffi fhe State Contracfors Law 18.27 RCW and <br />FEE <br />� (77 G� —O�l <br />