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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMI? SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everelhva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��1 � �-�t� �,�F 1,1� <br />PROJECT ADDRESS <br />_�n��� Wc,�-,� �Id1� `i�� ��c � f��ir;��l �� q�2ay <br />OW.9er Mail Addms� City Slale2ip Phone <br />Tenant <br />Mail Address <br />City <br />Slale2ip Phone <br />1�J�'�1-. I"IQCk'�SL ��3.t 'dI�I1� SI SL' autl..61� ��, �AU21 <br />ElectricalCoNraclor MailAddress Ciry State/Zip Phone <br />�4�C1� ��L�,i�q <br />State License Number <br />�! � <br />Proposed Use o( Building <br />�� c�un� <br />Conlracl Price of Work <br />Conlact Person (Plan Review) <br />^ GvUi� t r <br />Descrip'ion o( Worh fo �e Done: ,�( �� ��.�p �rV �� �, r1 5'� �✓I. C..F _ <br />� <br />�.l. C' P C, v �� % <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SAL[S TAX CODE IS 3105 <br />FEE <br />.� <br />1 hereby cenily fl�af I have read and examined fhis applicatron and knoiv fhe same !o be true and �� �� —��� <br />correcf. All p�ovisrans ol la�vs and erdinances yovernmg fh,�s type o! rvork will Ge complefed <br />whefher spec�fied herein or noL 7he granfing o/ a pennd does notp rosume fo give aulhonty to <br />violate or cancel the provisions o/ any ofher stafe orlucaf law regulating conshucfion or fhe <br />perlormance o( conslruclion. Thaf 1 am authonzed by fhe o�vner ol Ihis property fo pedonn the <br />�vorN lor which applicafion is made and 1 comply irifh fhe Slate ConVactors La�v it3.27 RCW and <br />296.200 WAC. <br />� � cQ�-, y����,� <br />