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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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �6/��,�,? l 9>� � �� 8L/.��. A sTairs �.o <br /> PROJECT ADDRESS <br /> J��—✓�i[.u�lG c.�c /03..73 ,�'1.� � �% Q�2'� � �i �A S/ri . <br /> Owner Mail Address Cily State/Zip Phone <br /> I <br /> Tenant Mail Address Cily State/Zip Phone <br /> �/1le/C�4Gb EGcZ 7R/G g�1'Z 7S�r /)2 Nc i�>'r�'�L�c u�i9� %j�/�6 <br /> Electrical COntraclor Mail Address City State/Zip Phone <br /> �/J�6i2 r9r^ /� /L.C . ";LGt'� <br /> State I_icense Number Conlract Price of Work <br /> _ ,D/� S f�"F/lt <br /> Proposed Use of�uilding Contac��erson (Plan Review) <br /> Description o(Work lo Be Done: �t�}�S � � t – j8,t.�TvT /�j�fAIJE/Kc't�i <br /> _—�_ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �,r <br /> ��� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerlily that 1 have read and exarnined this applicafion and know the same fo be true and <br /> correct Alf provisions o!laws and ordinances governmg this type ol work will be completed <br /> whether speal�ed herein or noL The granting of a permd does not resume to give authority to <br /> violate or cancel the provisions o(any ofher state or local law reguPting conshuchon or fhe <br /> perfomtance olconstruction. Thaf 1 am authorized 6y fhe o�vner o/fhis property to peAorm the <br /> work lor�vhich application is rnade and 1 contply with the Stafe Contractors Law 18.27 RCW and <br /> 296.200 WAC. � <br /> � �S cu'_ ��� , � � <br /> Signalu Dalp <br />