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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 /> �� �� y� I;�P sO��z p �� e�r��'��i� <br /> PROJECT ADDRESS <br /> `��af�. � � lll �vi ((aR0 <br /> Owner Mail Address City State2ip Phone <br /> Tenant MailAdtlress City State2ip Phone <br /> f����a �f- or-ie4a e I�cTl��� 9S3 r 3I5��ve5e �v�Re1T �9 7�'��� <br /> Elecirical Conl�aclor Mail Address Ciy Stale/Zip Phone <br /> G �/�GvL �7/� 7 / � / j �(/ � <br /> State License Number _� Contract Price of Work <br /> �{eS; De� �C <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description of Work�o Be Done: �-L �� � ��`Cu �� ./ r�" ' I" �''" ` ��� l�� � �Nl\��a�(�. <br /> NOTE' WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF[VERETT LOC�I SALES TAX CODE iS 3105 <br /> � I hereby ceriily that 1 have iead and examined U�is application and know Ihe same to be tnie and �L��"�� <br /> corTecL All provisions o/laws and ordinances governu.�(his fype ol work will be complefed �C'�6 <br /> whether specfied herein or not. The granting ol a pemuf does not msume to oive authonty fo <br /> violate orcancel the provisions o/any ofherstate or local la�v raguPting constn�cfion or the <br /> peAomiance of consfn�chon. That 1 am authonzed by the ownero/fhrs property to pedomi fhe <br /> wnrk(or which applicalion is made and I compty wdh fhe Statr. Confracfors La�v 18.27 RCW and <br /> 296200 WAC. <br /> / <br /> �r «���; �-� ��t �� ' �l� i�,l�v�o � <br /> ignalure �ale <br />