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i <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT S�RVICES <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 - DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br />48�7 �Ii�MitiG-�� ��� <br />PROJECT ADDRESS <br />�,� ��,e�N� ;'s�;c <br />Owner <br />Tenant <br />Electricai Conlractor <br />State License Number <br />Proposed Uae of Building <br />Mail Address <br />Maii Address <br />Mail Address <br />Ciry <br />City <br />City <br />�/� 9�zv3 42sZsy. <br />State2ip <br />StatelZip <br />State2ip <br />Conlract Price of Work <br />Conta�1 Person (Plan Review) <br />Description of Work to Be Done: �K�-rn�l� G� ��-�`(� ���1✓�� /r�S <br />,�'c..�'G'�Acf'�sFNT —af�f�n�F /�IA�,v b�, <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITV OF EVERETT LOCAL SALES TAl( CODE IS 3105 <br />1 hereby certily that 1 have read and examined this applice <br />correct. All provisions ol laws and ordinances goveming �� <br />whether specified herein or nof. The grenting of a pemut <br />violafe or cancef fhe provisions o/any other state or local <br />peAormance o/construction. Thaf ! am authorized by Ihe <br />work lor which application is mad� and I comply with the � <br />296.200 WAC. <br />�� <br />���--���-- <br />and know the same to 6e true and <br />Vpe o/ work will be completed <br />not presume fo give authonty ro <br />ggulating consWcfion or the <br />er oI this property fo peAorm the <br />Contracrors Law 18.27 RCW and <br />�z z� -7.v�¢ <br />FEE <br />�c��i'� � <br />Phone <br />Phone <br />Phone <br />