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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 '3 — ) �F —O� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C D%T�3'-O <br />i (i � Q - � �r�, S T .��= /9- � �'j <br />PROJECT ADDRESS <br />%i/?/1NK. ND�NiIVC� 206 7(nlv�'0�0/ <br />Owner Mail Address City State2ip Phone <br />Tenant <br />/Lf � C, /N <br />Eleclrical Conlractor <br />Mail Address <br />L �EL r ItIC <br />Mail Address <br />Cily <br />�0 /Nl. <br />Cily <br />Stale/Zip <br />Slate/Zip <br />n'i � L� //,l 1= C'U 0 3 N��- <br />Stale License Numbcr Contract Price oi Work <br />Proposed Use of Buildinc� Contact Person (Plan Review) <br />Descriplion of Work to 8e Done: �— �" U/� MF o v,en i� r�i� j,�ilif /� <br />�c�2v«�� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi/y that 1 have read and examined this application and know the same to 6e frue and <br />correcL All provisions ollaws and ordinances governmg this type o/work will6e complefed <br />whether specified he�ein or noL The c�ranting o/ a penmf does nof presume to give aufhonty fo <br />violate or cancel fhe provisions o/ any other stafe or local law re�u/ating conshucfion or the <br />performance of construc6un. Thaf 1 am authonzed by (he owner o/ fhis property to peAonn fhe <br />work /or which applicafron is made and 1 comply with the Sfate Contractors Law 18.27 RCW and <br />296.200 IA�AC. <br />FEE <br />00 <br />35 <br />Phone <br />Phone <br />