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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 6 AM TO 4�M —1 „-y p—D�p <br />�1 f �' <br />�/ � � <br />�-! D S �Cc f� ��' Si.��'� //��OU/1 fci �n ��i EW ���. ta- <br />PROJECT ADDRESS <br />Owner r� <br />Tenant <br />Electncal <br />Ji9,l:�t/�EL '�`ioh�� <br />Stale License Number <br />Proposed Use of Building <br />Mail Address <br />Mail �Comss <br />Mail Address <br />'�%/G % . <br />City <br />� <br />Ciiy <br />_ �-tic, <br />Cily <br />Stale/Zip <br />Stale2ip <br />State/Zip <br />Phone <br />Phone <br />Phone <br />'�lSCr� <br />Contrect Price of Work <br />��r�l Jb�,is ��las�G9J-�iG <br />Conlact Person (Plan Review) <br />Description of Work to Be Done: l,1 �� r'a �C �i'] h+m S}�U �� /.l ��� (�j 2 l lCc/I �lt/] `j_�/'n,� iq� <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 that f have read and examined fhis applicafion and kno�v fhe same lo be frue and <br />conect. All provisions o/ laws and ordinances governmg fhis typo o/ �vorA wil! Ge comp!efed <br />whether speci6ed hemin or noL The gran6ng ol a permR does not resume fo give aufhority fo <br />violate or cancel Iho provisiau o/ any other sfale or /ocal law reguP6ng constn�ction or fhe <br />performance ol consWction. Thal I am aufhonzed by the o�+�ner o/ fhis property fo pedomi (he <br />�vork lor which application is mado and 1 compty wifh fhe State Con(ractors Law 78.27 RCW and <br />29@200 WAC. <br />FEE <br />�`Go�- <br />