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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 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />30 1�U 1�1�r;np U'�eW �r. <br />PROJECT ADDRESS <br />Owner <br />N6MF <br />Tenant <br />�tail Address <br />�.1ail Address <br />Cily <br />Cily <br />State/Zip <br />Stale/Zip <br />Phone <br />Phone <br />Owner a5oo 8a�+d $1 1=�,eooi� l,�Q R�'2ol y�s��U�6 <br />Geclrical Conlreclor htail Address Cily State/Zip Phone <br />Slate Licenso Numbcr <br />Propased Use of Building <br />�%����, �� <br />Contract Price of Work <br />� �v�(,�e ti S F ,� <br />Conlact Person (Plan Review) <br />Description of Work to 6c Done: J�PE(XOU C� 1^C�[ I� Of l' r0 (G SEU V�CO ]'�J <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 />certily fhat 1 have read and examined fhis application and hnow the same to be frue and <br />All provisions ol laws and ordinancas govenung this lype oI �rork �vill be complefed <br />specdied berein or not The granling of a pennd does nof presume to gi��e authonry to <br />r cancel the �rovisions of any othar stafe or local law regu/ating construcfron or (he <br />�nce o/construcfion. Thaf 1 am aufhonzed by the owner o`fhis property fo perfomi the <br />whic0 application,l5 made and 1 comply �vifh the Sta(e Conlractors La�v 18.27 RCW and <br />� <br />f-EE � <br />�/ lQ 2 �� <br />� ," '?7�', <br />i:'`'.� � � <br />