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ELECTRICAL P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />�25-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />"I C`� I I� Ti� P�-I�-E t;..� csT <br />PROJECT ADDRESS <br />$ <br />Owncr <br />PdtilAddress <br />Ciry <br />State/Zip <br />Phone <br />Tenant MailAddress City State/Zip uq ��,g PSr.� �� <br />I l� 1 <br />�"���nr� IT ELE�-riZ��, �2��3 21o1�r �s� rv'vJ 5-rsinl�� (,�Ji '��2Si't1 <br />Electrical Contraclor 61ai1 Address Ciry State/Zip Phone <br />`J��M��Cf', � E 1 C'.�OD �� Z <br />Slale License Number <br />�� I� <br />Proposed Use ot Duilding <br />� Uv <br />Contracl Price of Work <br />Contact Person (Plan Review) <br />Descriplioo o( Work to Be Done: �� �I��\ ��- U� L�' NE � �r F <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 />1 hereby ce�fi(y thal I have read and examined fhis applicafion and know Ihe same fo be Vue and <br />correcL All provisions ol la�vs and ordinances governmg lhis type ol work will be completed <br />whether spec�6ed herein or not The grar�tin� ol a pernut does nof presurne to give authoriry to <br />viofale or cancel the provisions o( any ofher state or /ocal law regulating construcfion or the <br />perlorrnance o/ con;trucGon. Thaf I am authorized 6y fhe owner of;his propedy fo perform the <br />work /or �vhich application is made and 1 comply wifh the Sfafe Confractors Law 98.27 RCW and <br />296.200 WAC. <br />�-� <br />(O•II -�� <br />FEE <br />