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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.everetlwa.org <br /> APPLICATIONS ARE ACCEP'fED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> � 5 �- ! 5'h�r SE L�r 3 <br /> PROJECT ADDRESS <br /> ��� D <br /> Owner Mail Address City State2ip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> I/ (3L r� <br /> ( `GJirV �"� 1��¢ 2 �zL��T�� C�cIZ`{ Spi.tnc,klr �l i�".rtC�4�c� W, l�ZY9 3�/� 75-72 <br /> Electrical Contractor Mail Address Ciry State2ip Phone <br /> I�Fi✓/��L j I/�� <br /> State License Number Cnntract Price of Work <br /> /�C71DFN�//!tL GZ"i�EL�iniFS <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion of Work to Be Dane: ��LC'TCtCif�- �� �'`� �- <br /> NOTE: WIR�NG IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily Yhat 1 have read and examined this application and know the same to Ge true and <br /> correcL All provisicns of laws and ordinances governing fhis type of work will be comp/eted <br /> whether specifi2d herein or noL The granting ol a permit does not presume to give autl:onty fo <br /> violate or cancel the provisions of any other state orlocal/aw regulating construction or the <br /> peAormance ot c�nstrucGon. That/am authorizeo by the owner of this property to per(orm the <br /> work!or wnich application is made and I comply with Lhe State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �j / <br /> � � � ' �7 / f <br /> �//�",�`l / / ��/ G_ ' /6 •dS� 4 <br /> Si nawre Date /%n' V� <br /> � �i�� <br />