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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 ACCEPTEp FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Soq l �7 f-1 S� <br />PROJECT ADDRESS <br />- C!�iO�S(J(,1� <br />Owner <br />�i9C�"�'t�' <br />Tenant <br />Ol.�N�(L <br />Electrical Contractor <br />ISz� <br />Mail Address <br />Mail Address <br />Mail Address <br />�uu��/L f� <br />City <br />State License Number — <br />SIN4(.�_ �A�r�y �S <br />i <br />Propased Use of Building <br />Clty <br />City <br />F�ti �9 <br />Slate2ip <br />State/Zip <br />State2ip <br />�%� zo� yZ S <br />Phone2 3 � <br />('?f <br />4� <br />� <br />Contract Price of Work <br />�o Fr•✓ OGa�Z.Souc�} <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Description of Work to ee �one: t��W � RL 2 /2�or+-rS UN5'r'4>RS i¢-v' A� p <br />�i/Zu-rrr- /..i /-C�TcF-fE^J fJ00 c,�'�u�r y-a2 OrSr�c.��5r-,�r,� <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 />y ceRify that I have iead and examined this application and know the same to be true and <br />. All provisions cl laws and ordinances governing th�s type of work wi/l be completed <br />�r specified herein or not The granting o/ a permit does notp resume to give authonty to <br />or cance/ the provisions o/ any othe� state or /ocal law regulating construchon or the <br />iance of construcbon. That I am authonzed by the owner o( this propeRy fo peAorm the <br />r which application is made and I comp/y with the State Contractors Law 18.27 RCW and <br />�r-�q-�ti <br />FEE <br />� <br />E�H�1-u�l <br />