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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETI', WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />'� � � :> \ v'�C,� \ `� � ,;�_i <br />PROJECT ADORESS <br />c,�,� �-�v���y�. <br />Owner <br />Tenant <br />�c,�a,,���.; <br />Eleclrcal Contractor <br />A1ail Addross <br />Mail Address <br />��t�.�- � C <br />Mail Address <br />.. <br />� �� \�� 1��J ��.L, /���' y I� S <br />State License Number ' <br />Proposed Use of Building <br />Ooscriplion o( Work to Bo Done: � <br />�Ll [q.��, l,'V��'. <br />NOTE: WIRING IN NON•DWFLLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC C�R AC CABLE. <br />City <br />Cit� <br />City <br />2` �"� ' �y <br />G� C �02 / ? <br />L,z�=,� _�-��� C'`;(.�O <br />Slate2ip Phone <br />Stale2lp Phone <br />�1 �. � , � ���-, � - Ll :;� �; � <br />Slale/Zip <br />Conlract Prico of Work. <br />Conlacl Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certil}� that I have read end exarnined this application anAknow fhe same to bo frue and <br />correcL All provisions ol laws and ordinances goveming fhis type oI work will be compfeted <br />�rhether specifiad berein or nof. The granting o/ a pemuf does nofp resume lo give aufhonty fo <br />violato or cancel the Provisions o/any ofher state or local la�v reguleting construction or the <br />pedomiance o/ consfruction. Thaf 1 am authorized b}� the onner ol this property to peAonn the <br />�rork lor which applicofion is made and I contpty �vith fhe Sfate Contractors Lnu� 18.2i RCIN and <br />296.200 WAC. <br />�� <br />�.� �� ��,! <br />FEE <br />���'`J <br />Phone <br />�i <br />,, _ ��_� <br />J G <br />