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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 g_a0—��- <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org �1���7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �a�Q �o�n1� oC' ��P <br /> P OJECT ADDRESS <br /> � c7 (�a 20�� c `� g2o _ <br /> Owner MailAddress City StatelZip Phona <br /> � � � � � z <br /> Tenen� Mail Address City Slate2ip Phone <br /> (�WY1� <br /> Electrical Contractor Mail Address City StatelZip Phone <br /> State License Number Caniract Price of Work <br /> ��+� Contact Person (Plan Review) <br /> Proposed Use of Building <br /> Square Footage (If residenlial new conslruction, remodel or addition) <br /> Description of Work to Be Done: ��� n %� a. � O l.t`� D\c� '� �P f �f 5-��—. <br /> � �, � l - <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS, MC OR AC CABLE. `�� Oi� <br /> / <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify fhat I have read and ex;.,nined this application and know the same to be frue and � �� <br /> correct. All provisions of laws and ordinances goveming fhis type ol work will be completed <br /> whe(her specified herein or nof. The granting ol a permd does not p�esume to give aufhonty to �' 2� � � <br /> violate orcancel fhe pravisions o(any othersfate orlocallaw regulati,r,g construction orthe <br /> per/ormance ol construction. That 1 am authorized 6y the owner oI this property to perform the <br /> work/or which application is made and 1 comply wrfh the Sfate Contractors Law 18.27 RCW and <br /> 29 200 WAC. <br /> C�' <br /> S' uro Data <br />