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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, W.A 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��jl � r�1C�'�� � � _ <br />PROJECT ADDRESS <br />(l b /r/1uC, �, <br />yE�/�r 6� ��sT�iP S�R7"�� u��, `/'g�l;Z <br />Owner `r h7ail Address City StatelZip _, Phone <br />ALG� j)�j(!'C/%��. �c�i. 55�-G.zz(> <br />Tenant <br />Mail Address <br />City <br />State2ip <br />PhOne <br />l�l �✓' �n <br />Eleclrical Contractor M1tail Addrzss Ciry State2ip Fhone <br />Slate License Number <br />Propesed Use of Building <br />Contract Price o( Work <br />Conlacl Person (Plan Review) <br />Description of Work to Be Done: � � /{/1 � �%. � >P E�"L.% c C � � �i��i1 / � ��'�G= � � <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 />I hereby certi/y Ihat 1 have read and examined this applicalion and know the same to 6e Uue and <br />conect. All provisions ol la�vs and ordinances �overmng this type o( work will Ue completed <br />�vhether spea6ed herein or not The �ranfing o( a pennrt does not resume fo �ive authonty fo <br />violafe or cancel the provisions o/ any other stafe or local laiv reguPting construction or the <br />peAormance of consfruction. That 1 arn aufhorized 6y the o�vner o/ fhis property to perform the <br />�vork (or which application is made and 1 comply �vith the Stale Contracfors Law 18.27 RCW and <br />296200 WAC. <br />� <br />�� _7 l_ � �' <br />„ <br />. ; .. <br />� � ,L� ,,,. � �'�cc v � , , � <br />� �: �4� /1 �'� r <br />FEE <br />�0�03 - l l'Z <br />