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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 />�52/C> (,�JeT�Y►n�f, Avt <br />PROJECT ADDRESS <br />� �30 �!/ <br />t> w ��09-�3 <br />i�f�Ul/J %kti�'1�0/� cSZlC� Wt'Tnot�/1� Avt ��trrtf Lt�� iYt�''3 N1S•3Zo-7r7% <br />Owner Mall Address Gty StaleZp Phone <br />Tenanl <br />Electrical Contractor <br />Slate License Number <br />Mail Address <br />Mail Address <br />SI I 7 C; 4 C � AYYi /(- Y NOYYI f. <br />Proposed Use of Building <br />City <br />City <br />State/Zip <br />Slale2ip <br />Contracl Price oi Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />DescriptionoiWorktoBoDone: 2�pANL OF G�L+T�C'TS � I,1G/-/rS d Ci/i�^i'ng <br />C� t J3AS(: Mt'��1 i L�'l�rrC n*r���r�C� �e .TNs� 1� �irc�n„e��'n �� � '/� - <br />v <br />/ c.S <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />y ccrti/y Oiat 1 have read and examinod this applicafion and know the same fo be fruo and <br />All provisions o//aws and ordinances goveming ihis fype ol work will be completed <br />r spea(ed herein or nof. The granfing o/ a permd does not presume to give aulhonty to <br />or cancel the provisions olany other state or local law regulating consfruction or fhe <br />iance o/ consirucfion. Thaf 1 am authonzed 6y fhe on�ner o/ fhis property to pedonn the <br />r which application is made and 1 comply with fhe State Confractors Law 18.27 RCW and <br />� �� <br />i <br />FEE <br />��� �o� -OP3 <br />