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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERElT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />i �au-� 5 <br />[' pSo �--/O 6 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEFTED <br />�lzC �v �,�k,l �<� ���vi� <br />PROJ�CT ADDRESS <br />YZS2/�oy/D <br />l// tao�r c��,as �,�� �,'�..� T✓✓� � /Y%S /77 � ��d�= �f/� �ti/;e-. %b'2�'U <br />Owner Mail Address City State/Zip Phone <br />5.� �^ C' Jr S A�:JG ��-C. <br />Tenanl Mail Address <br />Electrical Conlractor Maii Address <br />�rra��,�� .T`77SG2G <br />Stale License Number <br />��i= /� - .n.��. � <br />Propo: ad Use of Building <br />�l <br />Description of Work to Be Done: �'� �"'� ' � �� �„`"�,� <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 />City <br />City <br />Slate/Zip <br />State2ip <br />Phone <br />Phone <br />Contract Price of Work <br />'T�sx C�SI� yzs-z/a�o%/O <br />Contact Person (Plan Review) <br />1 hereby ceRi(y that / have read and examined this application and know the same to be true and <br />correct. All provisions o/ /aws and ordinances goveming this type o/ work will be completed <br />whefher specified herein or not. 7he granting of a permd does not presume to give authonty to <br />violafa or cancel the provisions o( any other state orlocal la�v regu(ating ccnstruc0on or the <br />peAormance ol construcLon. ihat / am authorized by the owner of this property to periorm the <br />work /or which application is made and I comply with the Sfate Cuntractors Law 1827 RCW and <br />296.200 WAC. <br />— —� <br />__ __ _ .:_l <br />—2 ��—G� <br />FEE <br />� � � <br />j ,�/-/U�� <br />