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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 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />> � <br />�,.'s- �`//-»^,� .f�.,��,� , -, l %<�ir> l�! ; Y<; r <br />PROJECT ADDRESS ' <br />Owner <br />/ "/ <br />Tenant <br />/�� f/[� <br />Electrical Contractor <br />/ � <br />,s � <br />Mail AdCress <br />Mail Atldress <br />Mail Address <br />/i� lF..l �K- �/3 /' `/ <br />State License Number <br />.�.�^ � <br />/ �%«.-�; � <br />Proposed Use af E'.uilding <br />Ciry <br />City <br />City <br />Slate/Zip <br />State/Zip <br />-s��. ., <br />Phone <br />Phone <br />S - %�/.T' <br />Pt�one <br />�/oa °O <br />Contract Price of Work <br />�?�«",�� l� .i J� S <br />Contact Person (Plan Review) <br />:1,UE �c-v �%r%5��. <br />Description of Woric to Be Done: !•/%v���- //-�,-, �,%.'7.;a��y .a� �•-, p�s�r�' <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACE\NAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />f hereby certily that / have read and examined fhis application and know the same to be true and <br />correct. All provisions oIlaws and ordinances goveming this type o/work �vill be completed <br />whether specdied herein or not. 7he granting ol a permd does not presume to give authority to <br />vlolate or cancel the provisions ol any other state or local law regulating construchon or the <br />performance ol ccnstruction. That / am authorized by the owner o/ th�s properfy to peAorm the <br />werk /or which applicaticn is made and I comply wrth the State C�ntractors Law 78.27 RCW and <br />296.200 N�AC. <br />FEE <br />� osca-cay <br />