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�LECTRICAL PERMIT APPLICATION <br />ClTY GF EVERETT PEFt11AIT SERVICES <br />320Q CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DE81T � CREDIT CARDS ARE iVOT ACCEPTED <br />�713 LiNr���l <br />PROJECT ADURESS <br />Owner <br />Tenant <br />Electrical Contraclor <br />Mail Address <br />Mail Address <br />�dail Address <br />�t���4A, r3oscN�I�1�1�, ,�T <br />Slate License Number <br />Proposed Use of Building — <br />Descriptioc of Work to Be Done: <br />Cily <br />City <br />Qty <br />_�o<v�o-�.J� �Ii[. <br />Slate/Zip �� <br />S�ate/Zip <br />�S wA.�1;�Z59>�yzs <br />SWle2ip � <br />Contract Price of Work <br />Contact Person (Plan Review) <br />l.lNj��G2Gt,lI�1�D SI�.�C� lG I- 1(:C� Af.,tP S�%L. <br />NOTE: WIRING IN NON-DWELLI�GS IS r�EQUIRED TO FEE <br />BE IN RACEWAYS, MC Ok AC CABLE. <br />LTa <br />,55: <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi/y that I have re2d and ex� <br />correcL All provisions ol/aws and ordii <br />whether spea/ied herein or noL The g� <br />viol�(e er cancel the provisions ol any c <br />pe�iormance ol construcfion. That I arr, <br />work /or which applicalion is made and <br />296.200 WAC. <br />� <br />lhis application and knov <br />govermng fhis type ol wc <br />�/a permd does not pres <br />3(e or local law regulatin, <br />ized by lhe owner ollhis <br />'y wi�h Ihe Slale Confract <br />7-/1-DS <br />fhe same to be tnre and <br />k will be comp/eted <br />�ne to give authonty to <br />;onstrucfion or the <br />roperty to peAorm the <br />rs Law 18.27 RCW and <br />�os��-o�q <br />�31121 <br />Phone <br />Phone <br />Phoae <br />