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L=LECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� `/�l /� ; �r��„ 7� .`%t <br />PROJECT ADDRESS <br />5 a S-a6 <br />C-o6os-��3 <br />�/N�✓��.,�.�( /���,'/;:,�;�,'.% �'-i%/ � '/ I�w,I/ �✓v�T�`� C./st � iYy�: ( — <br />Owner MailAddress �� ^__� City State2p Phone <br />��� r� <br />, <br />��r,� p� `)// �- �� /_�ii fi� <br />;f <br />� . .� � <br />Tenant Mail Address City Slale/Zip Phone <br />3�c <br />-, � . � �tf 5 �"l d ? �/� � =v'd <br />�� �P � IL � �i �l � f D✓� � /� /�'� `7�� <br />Eleclrical COntraclor Mail Address City State2ip Phone <br />; j� c• i�=%;f� >7.�� <br />Slale �icense Number <br />[.%�'� `- — <br />Proposed Use of Building <br />Description o( Work to Be Done: �< <' �� ���' ��' �� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABI E. <br />SU ._ <br />Contracl Price of Work <br />Con!acl Person (Plan Review) <br />.��rii iz- <^ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I bereby ceitily (hal I have read and examined fhis application and know fhe sarne to be frue and <br />conect All provisions o(laws and ordinances govermn� �his type of �so�k will be cornplefed <br />�vhefher speciGed herein or noL The granling ol a perm does not'�resume fo c�ive atrthonfy fo <br />violale or cancel fhe �rovisions oI any other s(ate or local law regu afing consWcUon or the <br />pedoimance o( cons�ruction. That 1 am aufhonzed by the owner o/ fhis property fo peAortn Ihe <br />work Ior which applicafion is made and 1 comply �vith fhc Stafe Contractors Law 1827 RCW and <br />296.200 WAC. <br />-+: <br />'i� ._ � � . f ti� <br />FEE <br />; f_—_ <br />� bli' (,�' � � �C 3 <br />