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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERET7 PERMIT SERVICES <br />3200 CEDAR STREET, EVERETi, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />S �ID—/O <br />� /G}�,j � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />2 ( G, r�,�-c� <br />PROJECT ADDRESS <br />�� <br />�� ��itio�.�-4 �i Z � Ci.tz�,w� �- �.ad'��' t.1h cf S'��. - <br />Owner � Mail Address Ciry State/Zip Phone <br />Tenant <br />Mail Address <br />City <br />State2ip <br />Phone <br />Q fo-Si�av� �«�-t T.�� 223a A��a..� A� Ew-raaf� �,��$2a 3 425 -Z4a -T� <br />Eleclrical Conlraclor M1tail Address City Slate2ip Phone <br />�CL�STC� 9Ff3 GH <br />State License Number <br />S-F-`c�_ <br />Proposed Use of Building <br />Contract Price of Work <br />T� <br />Contact Pers�n (Plan Review) <br />Description af Work to Be Done: 4) i no o�.��'��� N� 1..�'1,�� 1v— eK��S"�v.c�C� jS�d"S <br />NOTE: WIRI�,� IN NON-DWELLINGS IS REQUIRED TO <br />BE IN R.4CEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I here6y certily that 1 have iead and exammed this application and know Ihe same to be true and <br />correct. A71 p�ovisions olla�vs and ordinances goveminq fhrs type el unrk will be completed <br />whe(her speci(ed here!n or noL The granting of a pemut does not p�esume to give aulhonty to <br />v�olate or..ancel the provisions ol any other state or local law regulatir.g construcfion or the <br />perfermance of construchen. That 1 am au(honzed by the owner o( (h�s prepeRy to pedorm fhe <br />;vo�k (or wbich applicaticn is mad2 and ! compty �wfh the Sta(e Contractcrs Law 18.27 RCW and <br />296.200 WAC. <br />.^----., <br />nature <br />FEE <br />C��;� � - �3`� <br />