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ELECTRIC�4L PERMiT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />32G0 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—www.everetriva.org C ' ' <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CAh'DS ARE NOT ACCEPTED <br />`5�`I ��Nnw <br />PROJECT ADDRESS <br />��� � <br />Owner <br />Tenant <br />Mall Address <br />Mail Address <br />City <br />City <br />State!Zip <br />;;tate/Zip <br />:j , <br />Phone <br />Phone <br />�t�u5c'N E�ECt��c INC. i�C�P��X �L�3 LflkE S�rEverJ� u�h p825g 3 i�R�(nS <br />Electrical Contractor Mail Address Ciry StaleJZip Phone <br />� JU��i'F�r'='I��-3�1�� <br />State License Number <br />�-�S 1 DEtJ'i l Fl1, <br />Proposed Use of Building <br />Description of Work ta Be Oone: �J.) ��� IJ�i 1,A���`�'_f� 1%� <br />NOTE: 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 />Contract Price of Work <br />Contact Person (Plan Review) <br />1 hereby certily that 1 have read and examined this application and know the same to be true and <br />cnrrect All provis�ons o!la�vs and ordinances goveming this type of work will 6e completed <br />whether specilied herem or noL 7he gran[ing o(a permd does not Aiesume to give authonfy to <br />violate or cance/ fhe provisions ol any uther state or local law regulating construction cr fhe <br />pedormance of consrruc0on. That I am authorized by the owner ol this property to perform the <br />work (or which application is mad� and I cempty with the Slate Contractors Law 18.27 RCW and <br />?96.200 WAC. <br />� <br />FEE -,-- <br />l , <br />J ' i <br />�i ,�' - �`7 <br />