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ELEI�TRICAL PERMIT APPLICATION <br />C17'Y 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 />� 2c�y (,t� Nr���,/r,�,u� �Z� <br />PROJECT ADDRESS <br />� l�ti <br />Owner <br />Tenant <br />�Ph <br />Mail Address <br />Mail Addwss <br />Cily <br />City <br />Stale/Zip <br />Slale/Zip <br />Phane <br />Phone <br />C,�C ��irl,u�_ 2';22 Qa:����ve't3c.z Fah= t.�:✓+ �`n2�� i�12S�3�3 �33 <br />Electrical Contractor A1ail Address ciry SIa�e2ip Phnne <br />�r�r_�N7�scb <br />State License Number <br />Proposed Use of Building <br />ys—o . �� <br />Conlract Price of Woric <br />Contacl Person (Plan Review) <br />Description o( Work to Be Done: �-tK4c'P�1c� c U��t£<� �.eo�.rrr� —�� —f� /fa.cr}zfi ����� <br />l <br />ti ii('-Ps' �1('-�idc'-+',-� -G1,.o rYl�e�- �It,sf� n�rGt�/ ��i,� �ra�c�c�lr�, .L/ , <br />_ �1?-��iu� 4 ���(�� Ir '�'J �9��P <br />NOTE: WIRING IN NON-DINELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />certi/y fhat 1ltave read and examined this applicaficn and know the sarne (0 6e fnie and <br />All provisions olla�vs and ordrnances govemmg this type ol work ivill be completed <br />spec�6ed herein ornoL The granfing oI a pernul does not resume to Uive aufhonty to <br />r cancel fhe provisions oI any other state or local law regaPfing construdion or fhe <br />ince o/ consfruction. That I am aidhorized by fhe owner o/ Ihis prop�xly to peifunn the <br />whlch application is made and I comply n-ith (he Sfate Confracfors Lrnv 18.27 RCW and <br />� <br />;�i <br />�0`t �S <br />