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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 />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DE51T 8 CREDIT CARDS ARE NOT ACCEPTED <br />�y 1.2� s yC/-1n1URE Lxi. E��FRE rT <br />PROJECT ADDRESS <br />yai <br />�naF,2r t�a2ri r-� l� l a a S ycnn�o�ze c�v �vF��rr v� S�.�o3 7io•o�e <br />Owner Mail Address Ciry Slate/7Jp Phona <br />Tenant <br />Mail ACdress <br />Ciry <br />State2ip <br />Phone <br />4J�11' �55-, <br />A�VANCEO ENE�ZL4 S�-aviccs�iNc JA��S'�AIUK�[TfD SVEtOI�'M��/�G /YI✓C��rE� l✓/��iF�7i <br />Electrical Contractor Mail Address Ciry State2lp Phona <br />A 1� V�7hJE S`i 81 r� f3 <br />State License Number <br />� ES� bF,v[F <br />Proposed Use of Building <br />��-Q `� <br />ConVact Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Dane: S E r, V i c F P a rv F i C{� N N 6 E <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 />FEE <br />I hereby certi/y thaf 1 have read and examined this appliwtion and know the same fo be true and <br />correct. All provisions ol laws and ordinances roveming this type of work will be completed <br />whefher speci6ed herein or not The granfing oI a permd does not presume to give authonty to <br />violate or cancel the provisions o/ any other state or /ocal law regulating construction or the <br />perlormance ol consVucfion. 7'hat I am authonzed by the owner o( this property to peAorm fhe <br />work lor which application is made and I comp/y wifh the Slafe Contractors Law 18.27 RCW and <br />296.200 WAC. <br />�� ���,�-l�� <br />