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ELECTRICAL PERMIT APPLICATION <br />ClTY OF EVERETT PERMIT SERVICE$ <br />3200 CEDAR STREET, EVERETT, WA 98201 �� ._ �-D � <br />425-257-8810 - FAX425-257-8857-www.everettwa.org Ca6o9�0 �%(J <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7 -, S- �7/' � >4 �� <br />PR JECT ADDRESS� <br />/ <br />,�� /72 �" LI,SC��23� <br />Owner Mail Address <br />Tenant <br />Mail Address <br />� <br />�. �.t V,�� C� � <br />Conlraclor <br />Sla�e License Number <br />Proposed Use oi Buildin� <br />M11ail Addmss <br />City <br />City <br />City <br />� <br />w� <br />Slate/Zip <br />State2lp <br />State/Zip <br />Contracl Price of Work <br />��(,�O0�7.5^-�� <br />/CY�✓1� <br />Phone <br />Contacl Person IPlan Review) <br />F'hone <br />Descriplion of Work lo �e Done: // UU ' ' VU � Q C <br />4'0�� %—cr.�- C'�rLiJ'�° / <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 heieby ce�tily fhat / have reaAand examined this applicnfion and kno�v fhe same fo be tnm and <br />cerzecL All provisions ollaws and orAinances govemmg fhis type o( work �vill be cornp/efed <br />�rhether specilied herein or not The granfin,q oI a permd Aoes nof presume fo give aufhonfy lo <br />viola(e or cancel (he provisions c/ any ofher state orlocal la�v regulafinq construct�on or the <br />perfamance o�construction. Thaf 1 am authoiized by the owner ol fhis property to peiform the <br />work !or �vhicA application is made and 1 comply wifY the Sfafe Con6actors Law 1827 RC W and <br />29G.200 WAC. „ <br />Gcv <br />FEE <br />