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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 8 CREDIT CARDS ARE NOT ACCEPTED <br />�!J /�A�z-0 c J o..1 /�a ia .Q <br />PROJECTADDRESS <br />�AS <br />Owner <br />%'f Q iv �'M C7Lv�-. <br />c�MZ° <br />Tenant <br />Jv �TC /03 <br />-x�-- —�ia o LiA�oe J � <br />aIFA I Address <br />Mail Address <br />��f ��s�- caA <br />City State/Zip <br />� <br />11-I I- d� <br />ciry� s�a�p <br />Phone <br />Phone <br />�c� �, c/���5 e 9.r'37 /B7?''S'rcr. r /��y.ect� �i-A 9B37r <br />Electrical Conhacto� Mail Atldress Ciry Stale/ZJp �� �yd phQne <br />.� ]-i� <br />�NCi4'R�-99� �S <br />State License Number <br />Proposed Use of Buiiding <br />Description of Work to Be Done: -%-N S 7JuC_l SiF �� �^� .Sy J i� <br />r <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 />�OOo�UO <br />Contraci Pdce of Work <br />Contact Persan (Plan Review) <br />I hereby certily that I have read and exarrined this application and know the sama to 6e Uue and <br />r,orrect. All provisions of laws and ordinances goveming this type o/ work will be completed <br />whether specified herein or not. The grdnting of a perm�t does not p2sume to give authonty to <br />violate or cance/ the provisions o/any other state or local law reguleting conshucfion or the <br />peAormance oI consfrucfion. That I am authonzed by the owner o( this property to peAorm the <br />wc, k)or which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />