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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3.'.00 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — vwvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />bil�b I-I�G4-l�r�(� (�WuE <br />PROJECT ADDRESS <br />I-1�AC� &tioS cn����T. <br />Owner Mail Address City State2ip Phone <br />Tenanl <br />Mail Address <br />Cily <br />StalelZip <br />Phone <br />4�M,r�1T E��T��� 62v3 26� st ST NuJ STr�Nwa�� w� �`�Z��- <br />Electrical Contraclor Mail Address City State/Zip Phone <br />S�rc1M (C 1 d�v ICZ <br />Slate License Number <br />S�R. <br />Proposed Use of Building <br />Description of Work lo Be Done: �1 ��C- �J E� r��' �L <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAl( CODE IS 3105 <br />u2 � 3�Ss 5�5r� <br />� ��JJ <br />Contracl Price o( Work <br />Conlacl Person (Plan Review) <br />i.�o i�r`�'� SE1-'-U�cIG <br />1 he�eby ceriily fhaf I have read and examined this application and know fhe same (o be Inie and <br />correcf. All provisions ol laws and ordinances governing this type ol work will be cornpleted <br />whether spea6ed hercin or noL The granting o/ a pernuf does not resume fo give aufhonty fo <br />violale or cancel Ihe /novisions ol any ofher sfafe or local law reguPting consVucfion or the <br />pe�fonnance o( construction. Thaf 1 am airthonzed by fhe owner o/ this property to perform fhe <br />wo�k lor �vhich application is made anA 1 compty with fhe State Confracfors Law 78.27 RCW and <br />29fi.200 WAC. <br />� -- <br />' � ll ' � <br />FEE <br />