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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERE7T 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 - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />3 532 JjJC�[1t�`r ( ��4knr1 ���) <br />PROJECT ADDRESS <br />.�vei�tf ��s d f�cc �e2 /t'%k; �*� 8/�/ fdczf�- �/� Sl.?�3 `/Z� 257. 7S y8 <br />Owner Mail A�dress Ciq' State2ip Phone <br />Tenant <br />Eiectrical Contracl�r <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Dane: <br />G�ti.i 6re. �tr <br />Mail Address <br />Mail Address <br />� <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 />Ciry <br />Slate/Zip <br />State/Zip <br />�'„ qaase <br />ConVact Price of Work <br />Conlar,t Person (Plan Review) <br />C.N�/�l✓ 9/!r� /%I[� <br />I hereby certily fliat 1 have read and examined this application and know the same to be tnie and <br />conect. All provisions ol laws and ordinances govemmg fhis fype o/ work will be completed <br />whefher speci6ed herein or noL The granting of a permit does nof presume fo give aufhonty to <br />violate or cancel fhe p�ovisions ol any other state or local law regulafing construcfion or fhe <br />peAomiance o� consfruction. That 1 am aufhonzed by fhe owner of this propeRy fo pedorm the <br />work for which application is rnade and 1 comply wifh tho Stafe Contractors Law 18.27 RCW an�. <br />296.200 WAC. <br />// <br />�k /0�/-2- �y� <br />�p�a7-R1. <br />FEE <br />Phone <br />Phone <br />