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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �_as--�o <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org G I00 6-1 U � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />� lJ (��q5 (,,5 ��7" '.1 /2 0��qc�ar Pi�' F,pr� l�7A `l�08 3S3-D6�5 <br />Owner Mail Address Cily Slate2lp Phone <br />Tenant <br />Electrical Contractor <br />�G �"!�� 3678�/ <br />Slate License Number <br />3 70/,��tl l-ln��� <br />Proposed Use oT Building <br />Descriplion of Work lo Be Dono: <br />Mail Address <br />Mail Address <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCPL SALES TAX CODE IS 3105 <br />City <br />City <br />Stale2ip <br />Slale/Zip <br />Conlract Price of Work <br />Phone <br />3s3 pca� <br />Phane <br />Conlacl Person (Plan Review) <br />FFE <br />Ci�o�-I�� <br />I hereby certi(y fhat 1 have read and exemined this application ar.d know the same fo be true and <br />corr�cL All provisions o/ laws and ordinances goveminc� thls type of work will bo completed <br />whefher specified herein or noL The granting o/ a penrot does not resume fo give authonty to <br />violafe or cance/ fhe provisions of any other state or local law reguPating construction or the <br />pedormance ot consiruclion. That 1 am authonzed by fhe owner of this property to per(orm the <br />work Ior which applicafion is made and 1 comply with tho Stafe Con(rac(ors Law f 8.27 RCW and <br />296.200 WAC. <br />5 = 2c�/ <br />