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ELECTRICAL PERMIT APPLICATION <br />CITY JF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX A25-257-8857 — wuvw.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />� i ;� 3 ��� l��/a 1/t><<��/-� <br />PROJECT ADDRESS <br />Owner <br />`,c, ' � s� <br />Mail Addn�ss <br />� V f /� `c ir r.(�� <br />City State2ip <br />Phone <br />� <br />Tenant Mail Address City State7Jp Phone <br />��'� �',� c,�r��'CfcT ��a� �<ovi�r,���� 3c��_ 4i/1 y��o� y��.35r���� <br />ElecMcal Contrector Mail Addreas Ciy Sfalel7Jp Phone <br />!�- � S(uv� � 59�� �;-l� <br />tate License Number <br />S � Gi✓'l.P �Xa^ rJ <br />Proposed Use of Building <br />� /S�r�- <br />ConUact Price of Work <br />Contact Person (Ptan Review) <br />Description af Work to Be Done: f/!�' _._J�: /7 / �, ���, �`/'��f � jC9 C j/ J. �2��- �� <br />hG.(i.� r; � v�. CCJ� L( - S' �,.'- r�c"O <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi/y that I have read and examined this <br />conect. A�! provisions ol/aws and ordinances gov <br />whether speci6ed herem or noL The granting ol a <br />violate or cancel the provisions o/any other state � <br />peAoimance o/construction. Thatlam authonzea <br />work for which application is made and 1 comply w� <br />296.200 WAC. <br />and know the same to be hue and <br />�pe of work will be complated <br />notp resume to give authonty to <br />egulafing constructron or the <br />sr o( this proaeRy to peAorm the <br />Contrac2ors Law 18.27 RCW and <br />�—/ <br />�OS <br />