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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 S..'�a. --0.�' <br />'�yf U S FfARi�G-5��/t� �zD <br />PROJECT ADDRESS <br />-PIC,�'�LL �li`�� ��fOS Nq�zl��s���v izn ��c,ec-7�, r.,-,�1 ���zo3 <br />Owner Atail Address City State2ip Phone <br />Tenant <br />N <br />Electrical Contractor <br />C /�CLC—l'C-yY3l� <br />Slate License Number <br />/2(ST�I��`i . <br />Proposed Use of Buildinc� <br />A1ail Address <br />�4ail Address <br />Ciry <br />fi�E StN <br />Cily <br />Slate/Zip Phone <br />J�C-R1-1�- wA / �,vA 1u�8s< <br />SWte2ip Phonc <br />�1,OGO _ <br />Contract Price of Work <br />�NAN i�Ae- <br />Contacl Person (Plan Review) <br />Description oi Work to E3e Done: : v�u� �'� � �%��'� ����� U u�� 1: f 9 k'� tL�J cCLS . <br />NOTE: WIRING IN �ON-DWELLINGS IS REQUIRED TO <br />BF IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EV[RETT LOCAL SAIES TAX CODE IS 3105 <br />I hereby certily fhat I l:ave read and <br />correct. Al/ provisions u(iau�s and a <br />whether spea(ieC herein or noL Thi <br />violete or cancel fhe I�rovisiops ol ai <br />peric,rmance o/consfrucfion. Thaf 1 <br />work Ior which applicafion is made e <br />296.200 WAC. ' � <br />; � � <br />�i �� <br />fhis app `cafion and kno�v the same to be frue and <br />govemmg Ihis type o( wo�k will be completed <br />ol a perrnrt does nof resume to �ive aufhonty fo <br />�fe or local luw reguPting construchon or the <br />�ized by the owner o/ fhis property fo perfonn the <br />Iv with fhe Sfate Confractors Law 18.27 RCW and <br />S, <br />FEE <br />C (7Cn G� I � 7 <br />