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ELE�TRICAL 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 />1i�10� MUr1�1���\ <br />PROJ�CT ADDRESS <br />KE 4�N� Flo� <br />Owner <br />Tenant <br />Mail Address <br />Mait Address <br />City <br />City <br />State2lp <br />StalelZip <br />Phone <br />Phone <br />S�,mm�re��-rf-�� �^,.c,3 2v��r-SrNw S�n1NWx�� wf1 ��s2q^� yZS ;3a� 575� <br />Electrical ConlraClor Mail Address City Slate2ip Phone <br />G�MrnIEI ovr� �t <br />State License Number <br />sr-� <br />Proposed Use of Building <br />� �U <br />Contracl Price of Work <br />Conlact Person (Plan Review) <br />Descriplion of Work lo Be Done: �.cJ)�-E �J�I�J Z�O (iM� 5�f UiLC r41`- S��` <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED Tn <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that 1 have read and examined this applicafion and know fhe sarne to be fn�e and <br />correct All provisions o/ laws and ordinancr.s ga�ernmg fhis lype of work will be complefed <br />whefher specfied herein or noL The �ranfing ol a pernuf does not resunre fo give aufhority fo <br />violafe or cancel ihe provisions o/ any ofher sfafe or lowl law « guPating construction or the <br />per/ormance o/ consfniclion. Thaf 1 am aufhonzed by fhe owner o/ fhis propeRy fo peAorrn fhe <br />wo�k for which application is made and I compty wifh the Sfate Contractors Law 18.27 RCW and <br />296.200 WAC. <br />/ <br />�,_�`��, �i��,_ ���; <br />FEE <br />E U`��`1-c�l <br />