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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT P�RMIT SERVICES <br />3?00 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />.�IPHLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM <br />' C%.2. ( � / `1 /� / r�� F'.s' � <br />PROJECT ADDRESS ° <br />3 — �d --�'i <br />C-07o3--a� <br />d� [a ��/� � �'� / : ci�; �v� / 5j' / ��/ c,�/ £�v�,rTJ Gci� <br />Owne� Mail Address Cily StalelZip Phone <br />Tenant <br />Mail Address <br />Ciry <br />Slale/Zip <br />Phone <br />� <br />��S-� <br />--� c ll %�i '�� �i i`-r,�=.,�Ti w-� %F>c� �3s s�Y 7 <br />Eleclrical Conlractor Mail Address Ciry Slate/Zip Phone <br />�JJ I I S_ � X-� C. ,? � E�' � <br />Stale License Number <br />^�<<> S, �('ti,-r _ <br />Proposed Use of �uilding <br />� -G'J <br />Conlract Price of Work <br />Conlacl Person (Plan Review) <br />�. c-'� i L,{ ' , �� /� <br />Descriplion oi 1Nork lo Be Done: ��r--_.'�r! i li S�% �fG � ��� (� <br />NOTE: WIRING IN NON-DV1'ELLINGS IS REQUIRGD TO <br />BE IN RACEWAYS, MC OR AC CAB�[. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceriil}� thaf 1 have read and exarnined fhis application and know fhe same to be Irue and <br />correcL All provisions ollaws and ordinances governmg (his type ot work �vill be cornpleled <br />whefher speuGed herein or noL The grantin� o( a pernu( does not resume to give authon(y to <br />violafe or cancel Ihe provisions ol an}� other state or local law reguPling construction or the <br />perlormance o/ const�uction. lhat I arn aidhorized by the owner o/ fhis property to pe�forrn the <br />wo�k /ur which application is nmde and 1 comply with fhe Sta(e Contractors Law 18.27 RCW and <br />296.200 WAC. <br />�i � <br />1 l�' C''� <br />FEE <br />