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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S fREET, EVERETT, WA 98201 <br />425-257-8810 - FFJC 425-257-8E57 - www.everettwa.org j-�'� 5 <br />APPLICATIONS ARE ACCEPTED FROM P AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />� � � �, :� _� y � <br />� _ . , P,o-,s %�.v�� Nt�. �=v�re.� wlt- `t ���05 <br />PROJECTADDRESS <br />C7�(\�Itl'' %/�/,%. � ; : F.'c,", C�dC ✓%C. C=UCre.l� ln/�1 �'i� ���:� `1-i5-22v�.�.-',j <br />Owner Mail Address �ity Stete2ip Phone <br />� � �-r 1 -� � . � <br />C�lc.<.�'t.f _/�/VL. ctr�'�.;�. P�G`.`� �VJl_ Nb• EVere./it,l1� � <br />��9a0� �F�� , �`1 �.<!Z <br />Tenant Mail Address Ciry State2ip Phone <br />Eleclrical Conlraclor <br />State License Number <br />`,ca�e, {^����.C, <br />Proposed Use of Building <br />Mail Address <br />' � � II ��„- <br />InL �206 76� <br />state/Zip <br />������ <br />Conlract Price of Work <br />1�9�1�� /<<�/-, fY <br />Contacl Person (Plan Review) <br />L <br />Phono <br />Description of Work to Be Dona: P�', .i i�� �_. r,��'>O d19�'1P �i'tr-��t � C' 1'l/ l�. C. --� p{� <br />t e�F{�f-�-k�-� � � o_ �; � rv. t ��(� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br />I hereby cert%;y that 1 have read anJ examined tbis applicafion and know the same fo be tn�e and <br />correr.L AU provisions o/laws and ordinances goveming this type o/work wi116e completed <br />whefl er �pea�ed her�in or noL The granting o/ a permrt does nof presume to give authonty to <br />violata or cancel fho provisions o/any other stafe or lowi law regu/ating construction or the <br />performanco o(consWction. Thal I am aufhorized by the ownerol this property to pedorm the <br />work ; or which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296 290 WAC. <br />FEE <br />� /`f7 0� <br />�a5o3 � `13 <br />