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ELECTRICAL PERMIT ��PPLICATION <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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />'��(DG7 <br />ilv c�cp� F.GI�t. <br />PROJECT ADDRESS <br />(�av�nl h/luTsc�� ��2. S7Ul� <br />Owner <br />Tenant <br />Mail Address <br />SA�- <br />Mail Address <br />/!aa c�'✓ecf� w�t- 7�Zr� 3 <br />Ciry <br />City <br />Slate/Zip <br />State/Zip <br />Phone <br />Phone <br />2G6- <br />� y/1l�M�� �CEG7Y'uL- %'. �• �vK `� bS �DMmI��S /�✓/�- �d;� $Y2- o3�a <br />EleClriCal Contraclor Mail Address Cily State2ip Phone <br />Py��ME ir��� a�/ _ <br />State License Number <br />Proposed Use of Building <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Oone: ��V! iE P��y�(� Gfl/t-Ml(���U� <br />NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi/y that I have read and examined fhis applicafion and know the same to be frue and <br />correcL A/l provisions ollaws and ordinances goveming this fype ol work wiil 6e compleied <br />whether speci�ed herein or not The granfing o/ a pernut does not presume to give authonty to <br />violate or cancel the provisions of any ofher stale or local law regulating construction or the <br />pedo�mance ol construction. That I am authonzed by the owner of this property to perlo^n ihe <br />work !or which application is made and I comply with the Stafe Contracfors Law 18.27C.W and <br />296.200 WAC. <br />�. /viL � i � <br />%-Z2�o�% <br />FEE <br />