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ELECTRICAL PERMIT APPLICATION <br />CITY OF E�/ERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLIGATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��.� c� �J mU��1�po ��v.P. <br />PFEOJECT �1R�=SS <br />/� _.I 1., o � <br />C-O ga 6-O� <br />(���aN.. �u-�� ��►O w ;(1uk,i�p���vp E�v�e N �.�,t�� �I�3��z3 <br />Owner Mail Address City State/Zip Phone <br />Tenan: <br />SS � cJ E� <br />ic, <br />Ivlail Address <br />Eleclrical Conlraclor Mail Address <br />��,�4 S� ��T t � 3 +� l ,i <br />Slale License Number <br />�jh� o. �% r�n.pc�� <br />Proposed Use oi Building <br />Descnption of Work lo �c Done: <br />c <br />�.�P�ti w`,'11� i� �f1�c�u G2,�'��"s <br />Cily <br />City, <br />State/Zip <br />SlatM2ip <br />Conlracl Price of Work <br />Conlact Person (Plan Review) <br />lT� ��i 7�ST <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! hereby certify thaf 1 have read and exantined fhis applicntion and kno�r the sarne to be true and ���� �� C� `t <br />correcL All pruvisions olla�vs and ordinances goveming this rype ol woik a�ill be complefed <br />whefher spec�fied hercin or noL The granfing ol a pennd does nof presume to give authonty to <br />violafe or cancel t7ie provisions oI any ofher state or local la�a regulatina construcfion or the <br />perlomiance o/ construction. 7haf I am aufhonzed by fhe o�t�ner o/ flus properiy (o perlemi the <br />work Ior which appir,ation is made and 1 cornply wilh the Sfate Confracfors Law 18.37 RCl1� and <br />296.200 WAC. <br />Phone <br />Phono <br />_� <br />