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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 — w�vw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />5 i 3 1 nl��,�,s��, �- v-r �%� �z a i <br />PROJECT ADDRESS <br />�ti l� � �- ��,+ C �,��,�� `Io �.7 l��� y � �, ve <br />Owner hlail Address City <br />Tenanl <br />!'�., Il� C�. h I,c =� � <br />Electrical Contraclor <br />Mail Address <br />nNs r/_ n� y<ll)���_ i <br />Stale License Number <br />Propased Use oF Building <br />Address <br />Cily <br />Cily <br />J`ti � t"! l�Y� Fv�r�'�% <br />State/Zip <br />Slale2ip <br />�� s�rz s� <br />State/Zip <br />� � Z. � UY%�% <br />Conlracl Price of N1ork <br />i��4j <br />Phone <br />Contact Pereon (Plan Revietiv) <br />Descriplion of Work to Be Done: � H y�t� // i� /� l I� �% f% 6�/ � �� I1a �75 �� S�� iti fGa✓i <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined fhis applicafion and kno�v Ihe same to be frue and <br />correct. All provisions olla�vs and ordinances govermng this type o/ work �vill be complefed <br />whefher spea(ed herein or noL The gr.3nting o/ a permit does nof reswne to give aufhonty to <br />violafe or cancel fhe provisions of any ofher state or local lau� reguPfing conslruction or the <br />perfonnance oI consVucf�on. Thaf 1 am aulhorized by the o�vner of Ihis propeRy to peAorm fhe <br />work /or which applicafion is made and 1 compty �vilh fhe Sta(e Conlrac(ors Law 1827 RCW and <br />296.200 WAC. <br />�- �" �v�5'%� <br />FEE <br />�c�sio-oi.� <br />Phone <br />Phone <br />