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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, �VERETT, WA 98201 <br />425-257-8810 - FAX 425-25� •8857–www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�1�� �c �FS <br />PROJECT ADDRESS <br />I I � I S-/b <br />r�l!%l� `b� / <br />�; � � 38Z <br />I Ilo N; lk S E v�'-�-�Vn �,.�, w� 4�i �'t S- f <br />J�`��v� r�4" ~' Stale/Zi Phone <br />Owne� Mail Address ���Y P <br />Tenanl <br />Afail Address <br />City <br />Slate2ip <br />Phona <br />P IZ L 5 Cd 1J L L� ci�j> \l .G.�%c Z 2 3c� � �-`r t'{•.° �tJ,vf�l't , ilri 1 fi Zc,? S q Phone <br />EleclricalContraclor MailAddress City State/Zip M p <br />76 � <br />P R E` s'rF= -�- `i' �J 3 G 41 <br />State License Number <br />5. l'. �. <br />Proposed Uso oi Building <br />Contract Price of Work <br />ConlaclPerson (Plan Review) <br />i � �j- ca.S�a�'�"t'�`� — <br />Descriplion of Work lo B.� Oone: i< 6� Z� d S <br />NOTL: 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 cerii(y Qiaf f have read and examined this applicafion and kno�v the sart�e fo he true and <br />correcL All prov�sions o(la�vs and ordinnnces �overnmg fhis type of trork �vill be comple(ed <br />u�hether specified herein or noL The grantmg of a perrnd does nof resume fo give authonty to <br />violaloorcancelthe provisionsofanyotherst�teor/ocalla�vreguPtingconsfructionorthe <br />performance o/ cons(ruction. Th+3; I am aufhonzed by the o�vner o/ fhis property fo perfomi the <br />�vork fur w0ich application is ntade and 1 comply reith fhe State Con(ractors La�v 18.27 RCW and <br />29G.200 WAC. <br />FEE <br />� � <br />"` �� - ;.' <br />/� , <br />/ � <br />