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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEGAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPL ICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM <br />�I^) i �5,.� .(� !-- �� • ��-' C7�LLCI �CLl�1�.l,�z.`o�/�{l'C <br />PROJEC7 ADDRESS <br />Owner <br />Electricai <br />�� �� ._� . i � rr=r,.�,.e, <br />Mail Address <br />� �� �1' � �.'L� <br />� Mail Address <br />. , ` <br />� Mail Address <br />%tt i� 1 �1�1-��-�_ <br />State Lic s umber <br />Proposed Use of Buildinc� <br />1 <br />., I <br />Description oF Work lo Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY UF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�ii�E"" �>a <<k'�1S ��, <br />City Stale/Zip <br />%�� �iL��' ! L'I��C�. 1.�1!� <br />City �ale/Zip <br />, I �j <br />�,;I� <br />�i�%s <br />�� <br />oneJ <br />a 2S ��'�5 <br />Phone <br />Cily '/ py / /,... �% n /7Slate/Zip � / Phone <br />G(/��^L�I 1/ `/'✓J�f � L�l �Uf ,-�1S _J ;T� <br />i� G ��1�+-C'� z.5 S <br />Contract Price of W ork <br />Contact Person (Plan Revicw) <br />1 hereby certily thaf 1 have read and examined this application and know fhe same to be true and <br />correcL All provisions ollaws and ordinances governuig this type ef work wil! 6e complefed <br />whefhe� specified herein or noG The granting o( a pernut does not resume to give authonty to <br />violafe or cancel the provisiens o/any ofher state or locallaw regu afing r.onstruction or the <br />pedormance o/ construchon. Thaf 1 am authorizec by the owner of fhis property to peAorm fhe <br />work fur which application is made and I comply with fhe State Confractors Law itJ.27 RCW and <br />296.200 WAC. <br />FEE <br />E vf�G� 'c�0�j <br />