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ELECTRICAL PERMIT APPLICATION <br />GITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-Ei810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM ., qM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />�Z �� �,z aZ.o t� ,s 7— <br />PROJECT ADDRESS <br />�4! '"'�� 24 %�c�� �7�'Jl .SG�4c��G/ <br />Owner � <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />City <br />Slate/Zip <br />State/Zip <br />Phone <br />Phone <br />Sf � <br />Sr/ 20!( 7� 5� C�..p---e fy cv/f � c�3 35S -53 Y 7 <br />EleciriCalContraCtor MailAddress City SWte/Zip Phone <br />i�Sr� �C' n� G�Zz � Z, <br />State License Number <br />�� s--Pz-./< i <br />Proposed Use of Building <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Desc�iption of Work to Be Done: �� 4c. �„( i� ,� 6 4� c� � r� �� <br />NOTE: W IRING IN NON-DVVELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily that I have read and exam;ned this application and know the same tc be true and <br />correcL A/l provisions of laws and oidinances govermng th�s type o/ work will be completed <br />whether specil�ed herein or not. The g�anting o/ a permit does not presume to give aufhority to <br />violate or ca. �cel the provisions o; any ofhar state or local law regulating construction or the <br />pedormanc � o( construction. That I am authonzed by the uwner o� this property to per/orm the <br />work /or which application is made and 1 comply with tbe Stafe Contractors Law 18.27 RCW and <br />296.200 WAC. <br />FEF <br />F��t c�7—o3�{ <br />