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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 - v�nvw.everettwa.org � ��p._O � <br />APPLICATIONS ARE ACCEPTED FROM 9 AM TO 4 PM CY �"1 �i-�"��� <br />� � <br />/ L � ' <br />"1 i�l �' c (;^ <br />L� �-' �- � � 1C <br />PROJECT ADDRESS <br />��` �� W��1 � <br />Ownef <br />Tenant <br />c <br />Eleclrical <br />Mail Address <br />Mail Address <br />'7 � c �i< <br />City <br />City <br />%. �/ . . � L <br />MailAddmss <br />�vC,��,v�l `��c' �I�S �J�� <br />Stale License tJumber <br />C� .� ��vv� �� J 1 Jl.i.�L� ��•1� <br />Proposed U o' 6uildin3 ' <br />City <br />� Slate�Zip Phonc <br />StalP2ip Phone <br />I�0%< `i�I � U �(� �1��' lLu���` <br />State/Zip Phone <br />ConUaci Price of Work <br />Contact Person (Plan Rovicw) <br />Description of Work to Be �one: � rl „l�- ��J �� �'.5��� �i`�l2 i �vc�r �Y / 'T / -4 e�—�o�n1c�'h/ <br />� k� i_� I�C�c��,� S <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF E4ERETT LOCAL SALES TAX CODE IS J105 <br />FEE <br />I hereLy ceriily that 1 have mad and examined fhis applicatiai and kno�v the same to be true and <br />conecL All provis�ons o/la�rs and orAinances gaverning fbis fype o/ �vork will Ge completeA <br />whether specified herein or noL The granrnr� o! a pemuf does nol p�esume to give aufhoriry to <br />violale or cancel the provisions ol anv oflre� sfafe or local law regulafing construcfion or fhe <br />peAormance ol construclion. Rhaf I, m aulhorized by fhe owner ol fhis property fo pe�fonn the <br />work /or which applicatiqnjs {»ade ai�d I comply with Ihe Slale Confracfors Law iF 27 RCW and <br />- a�- �. <br />����Z_o�s <br />