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ELE�TRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERIVliT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 - FAX 425-257-d857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3.� � � ��r'a �G J �' <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />� <br />� N�V�@eGE <br />Eledrical Contrador <br />d.J 3� <br />Mail Atltlress <br />Mail Address <br />ruc /07/� <br />Mail Address <br />�`rNN�EL9 �y,e� <br />State License Number <br />Proposed Use ot Building <br />� �c S� � <br />(,ity <br />City <br />'-,,Qsw �%� �„� a.r <br />� Cily <br />State/Zip <br />State2ip <br />State/Zip <br />cort ,ct Price of work <br />�3 Phone <br />Contad Person (Plan Review) <br />Phone1 <br />�� L l <br />S -/ 33z <br />Phone <br />Description of Work to Be Done: ��'s��� u Li '" �"�'�� f �u � � /�— <br />NOTE: WIRING I�' NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC � 48LE . <br />CITY 7F EVERETT I_OCAL SALES TAX CODE !S 3105 <br />FEE <br />y:ertily that 1 have read and examined Ihis ap�!ic�tion and know the same to be true and <br />. A/l provimons oflaws and ordinances govem�ng ti+is type o/work wdl be crompleted <br />r speci(ed herem or not The grantmg o/a pormd dces not p2sume fo give authonty to <br />or cancel fhe provisions �/any other stafe or iocal law 2gulating construcNon or fhe <br />�ance ol construc6on. Tha� I sm authonzed by fhe owner o/ this properly fo pedorm the <br />v whrch applicafion is made and 1 compty wdh fhe State Contracrors Law 18.27 RCW and <br />H, <br />6 <br />,�or-oy <br />