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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERE�'T PERMIT SERVICES <br />3200 CEDAR STPcET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8657 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />/ <br />`��� '7 � `' � �� v y_ � � .S � �i� [/� <br />PROJECT ADDRESS <br />Owner Mail Atltlress Cily <br />State2ip Phone <br />��-� • 4, � � ,� —s; / <br />L I {� i � � ' _ 7 � � � _,.�� C.�- /-. r'¢I�%7� ;,ai/ � _ <br />Tenant ` Mail Address J' Cily State2ip Phone <br />r <br />i / � <br />�1/;�/+SiG/�"��'L:�',i /7C.�1 =._Jcrr�Sc,_= SC�/ L �d/7v�-kL.i�CiS <br />Electrical Contractor Mail Atldress Cily State2ip Phone <br />Stare License Number <br />J�,��;.-�� ,- �f <br />Proposed Use of Building <br />Description of Work ro Be Don?: <br />� � <br />��< ; i .1 ,: i. . �G S <br />NOTE WIRINv IN NON-DWELLINGS IS REQUIRED TO <br />SE �N RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 �•� <br />, � �,��- <br />Cont�rice ot Wark <br />/%1 �lr�.,_C G-."Z.k;;� � <br />Contaci Person (Plan Review) <br />1 hereby certily fhat / have �ead and examined fhis applicafion and knav the same fo be true and <br />correcL All provisions ol la�vs antl ordinancas govenung this type o/ �vork �vill be complefed <br />�vhether speci�ied herein or not. The granting o( a permd does not presume fo give aufhonty to <br />violate or cancel fhe provisions olany other state or local law regulating conshuchon or fhe <br />pedormance ol conslrucfiort Thaf 1 am aufhonzed by the owner o/ fhis property fo pedorm fhe <br />work �or which applicahon is made and / comply with the Sfate Contractors Law 7B.27 RCW and <br />296.200 WAC. <br />� -av-os <br />' / /s c <br />FEE <br />`� //� S L�, <br />./ � �"� ._ - <br />L�% p <br />