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ELECTRICAL PERMIT APPL'CATION <br />CITY OF EVERETT PERMIT S�RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FF�X 425-257-8857 — wv�v.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />(c 1 a 3 <.v ,\�o�����.,��� �_. � _; �;.\� , w �� <br />PROJECT ADDRESS <br />Owner <br />A1ail Address <br />Tenanl Mail Address <br />i �', <br />..>�zt,\�ic�� t=���'�1���'_ <br />Eleclrical Contraclor Mail Address <br />`;%.�l��L<�ti���J`� ���7 /� <br />Slate License Number <br />j` c . <br />,C, \=, � <br />Proposed Use o( Building <br />Cily <br />Cily <br />Cily <br />Slate/Zip <br />State/Zip <br />Phone <br />Phone <br />Slale2ip Phone <br />�Y, oo. <br />cc <br />Contracl Prico o(1Nork <br />r� <br />��i\`S ��z�.1�.�C=i <br />Conlact Person (Plan Review) <br />Descriptian of Work lo De Dane: �- \ _1�.qc\� �_`�C�l\N:: � `1cCl�� � - o'. �-+��`:,�.- ,��rt�v+� �- - <br />� <br />1�N1A �--�"�`�S� v •�� �EA � � � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, Iv1C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceK+(v lhaf I hat�e read and examined th. �nlication und knotr fhe samu to be true and <br />conect. All pfovisions ollaws and ordinances got�. ..ng this type ol�vork tvill be cornplefed <br />:vhelher specified hemin or noL The c�rantinc� o(a penmt does not presume to give aufhonty fo <br />violateorcaneelthe provisionsolanyotherstateorlocallawrec�ulatingconsWchonorfhe <br />perfomrance o/constn�cfion. That 1 am aufhoiized b}� the on�ner o(fhis property to perfornt the <br />�vork for �tliich applicafion is made and I compty nifh fhe Sfate Confracfors Law 1827 RCLV and <br />FEE <br />i <br />L ����-/ZJ� <br />