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ELECTRICAL PERMIT APPLICA�ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 3� a S`0 � <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org L C`z� 3�13 / <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� ; �:; , � �r��,i � itiP-�l � VL {:U�=,� ��� �-r."� , `�� ZJ ( <br />PROJECT ADDRESS I <br />� �-�� � l �C'' �F s-��v4��s �a /� - ���7s� '+�s'�i� �33� <br />}:� � � e > > f,::y, � <br />Owner h1ail Address City StalefZip Phone <br />Tenanl <br />Eleclrical Coniraclor <br />License Number <br />Proposed Use of Building <br />Pdail Address <br />Atait Address <br />Descriplion of Work lo Bc Done: ��l <br />'ol< 1,;�;1;� <br />l' <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT I.00AI_ SALES TAX CODE IS 3105 <br />I hercby certily fhaf I have read <br />covecf. All p�ovisions olla�vs e, <br />whefher speci6ed hcrein or not. <br />violate or cancel the provisions <br />perfonnance o/constniction. T <br />�vak Ior �vhich applicafion is mc <br />296.200 WAC. <br />� �=�.-.�--� <br />City <br />Ci1y <br />l l,; �c <br />StatclZip <br />StalelZip <br />..�aC7 <br />�,�,_.� <br />Plione <br />Phone <br />Conlracl Price of Work <br />c�•«. �;..; �,��j �_,�_r�.3�tc.�433�� <br />Conlacl Person (Plan Review) <br />Zv0 l� S<'�� � c t <br />exarnined fhis npplication and know fhe same fo be tnie and <br />rdinances �ovemmg this t}�pe o/ work will be complefed <br />a granting o/ a pernut does not resume fo give aufhonty fo <br />�y ofher sfafe orlocal la�v re�uPting construc6on or the <br />am autho�ized by the o�vner o( this propeAy fo pe�form fhe <br />ind 1 comolv u�ith fhe Stafe Contractors Law 18.27 RCW and <br />FEE <br />Fc,'rGC�3-(�j� <br />