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� <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT F�ERMIT SERVICES ��� 3_0 � <br />3200 CEDAR STREET, EVERETT, WA 98201 �O � 1� y0 �� <br />425-257-8810 - FF,X 425-257-8257 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Z2 Lcc��Sr `>i . <br />PRO.IECT ADDRESS <br />LN�ft �ilt; <br />Owner <br />Tenant <br />Address <br />Mail Address <br />City <br />City <br />State2ip <br />Stale2ip <br />Phone <br />Phone <br />1'J�SCI-I EllC1�IC INC. ��Ol�1i� IUS� Lf1�C5T�V�t�;S WA `��ZSn 4zS3�11u�7(�5 <br />Electrical Contractor Mail nddress Ciry State2ip Phone <br />1�l,Sc t�tEz`i9'� GT <br />State License Num6er <br />litiiji <br />Proposed Use of �uilding <br />Description of Work to Be Dane: bU � IZ WC, 1a(��� {�-HDL. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF [VERETT LOCAL SALES TAX CODE IS 3105 <br />Contrect Price of Work <br />Contact Person (Plan Review) <br />1 h=reby ceRily that I have read and examined this application and know the same to be t�ue and <br />correcL All p�ovisions of faws and ordinances goveming th�s type ot work will be completed <br />whefher specified herein or not. The 9rant%ng o)a permrt does notp resume to give authonty io <br />violate or cancel the provisions of any o(her state or /ocal /aw regulating construction or the <br />periormance ol construchon. That I am authorized by the owner of this propeRy fo peAorm ihe <br />�verk (or which application is made and I compfy with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />/I-3 <br />FEE <br />� 9//- /.� <br />