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a <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8b10 - FAX 425-257-8857 —www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />; :,'�/5 /a�KVG s�: � ,�.� '�.8 <br />PROJECT ADDRESS <br />fikP�� Pssvc�,?iE� <br />Owner Mail Address <br />City <br />SNAyLfi 'Up�L � �l� /�}�.f� HPiC JE�e J .0 A "�B �4��R�'JT <br />Tenant Mail Address Ciry <br />�R��i i✓N[[ f-i'�,--c _- /uf c�l;�i ;�s/ /+-✓� S S�-c+�[.�_ <br />Elec�rical Conlraclor Mail Address Cily <br />�ittn7:✓E 9 rv c <br />State License Number <br />�(ETA� L <br />Proposed Use o( Buildin� <br />Stale/Zip <br />!J`J <br />Stale/Zip <br />�✓� %•� <br />Slate/Zip <br />t' .,2 Si'+� <br />Contracl Price of Work <br />� ! � <br />Phone <br />Phonc <br />(=�i cr� ' <br />Phonc <br />5%E✓E Gc� <br />Contacl Person (Plan Revie�.v) <br />Descnplion o( Work lo �e Done: ECEtT/.'/CA L / r F�%{ NP'G `c��,� ���'9, <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 />1 hereby certily fhaf 1 have read and examined fhis application and kno�v the sarne fo be true and <br />correct. A/l provisions oflaws and ordinances governing this type o( work �vill be completed <br />whether speafied herein or not The c�ranting o! a pernut does nof presume to give authonty to <br />violate or cancel fhe provisions of any olher sfate or local law regulaling consWcfion or the <br />performance o( construction. That 1 am authorized by the owner o( this property fo perforni the <br />work lor �ti�hich application is made and 1 comply �vith Ihe State Contrac(ors Law 18.27 RCW and <br />296.200 WAC. <br />/ ~" v ' �7� <br />FEE <br />�����0�-03 7 <br />