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:, <br />ELECTRICAL 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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />'J/ 1 <br />; <br />� r . <br />`i i � i� h";-iLP ;'�(,��.,: <br />PROJECT ADDRESS <br />i � ii , <br />��L�/�r� C-�L r-��=���'C�,;� ; ',��zl �� �. �� - 9f'�or � � <br />Owner Mail Address Ciry Slale/Zip Phone <br />Tenant <br />� �S � �� '�� <br />Eleclrical Contraclor <br />Maii Address <br />'�j� 3:?C�/ <br />Mail Address <br />���.��\�1J�9 � �'r��- II�V <br />State License Number <br />` � I� <br />Proposed se of Building <br />City <br />%C'd i.�L V i� <br />Ciry <br />StatelZip <br />Phone <br />�/���/t�'�G�/ _�SS-i���'/ <br />Stale2ip <br />�� _�Q(/ <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Descriplion of Work lo Be Done: �.P ;n� %i C. -(' ��L, i L � L•-(� � �� i- �f ,� �! Y C ni IJ �. <br />�' .�C'L� � I�CC�/ I,�.� -i':'! <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 />I hereby certily Ihaf 1 have read and examined tbis application and kno�v fhe same to be fnie and <br />conect All pravisions o/ la�vs and ordinances c�overning this type ol work will be comp/eted <br />whefher specified herein or not The granfing o/ a pernuf does not presume to give aulhority lo <br />violafe or cancel the provisions cl any other state or local la�v regulafing consfn�cfion or the <br />perfommnce oI consfruction. That I am authorized by the owner o/ fhis property to perforrn the <br />�vo�k lor which applicafion is made and 1 comply with the Sfafe Confractors Law 1827 RCW and <br />296.200 WAC. <br />� <br />,�,��� ("�-� <br />�v - � � <br />� <br />FEE <br />Phone <br />