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ELECiRICAL 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 ACCEPTED FROM 8 AM TU 4 PM <br />S�"L_? a-t�, D�z--�L�1��-veYe.�-k <br />PROJECT ADDRESS <br />l_I.IAV\�YU(�0�1 Z6i.S��71=tclv�lay A'�G,�F7 L{�(>to��Va-�VJP..�i320�'��25��13SY�.�Z <br />Owne� Pdail Address City SlatelZip Phone <br />Tenant <br />A1ail Address <br />City <br />Slate2ip <br />Phane <br />�lA+rneal Elec�-�r�c,`nc, S'��,ti `I6'''`'F�,�e.t�,U�s�vens,w,4`1g2s����s�3'���eoo I <br />EleCtfiCal COnlraclor Mail Address City StatelZip Phone �� <br />\f ArQw1� �z�1-t�`MCr <br />State Lir,ense Number <br />SFR <br />Proposed Use of Buildin9 <br />Descriplion oi Work t„ �e Done: \2`t�.�.'(� 'ROW fJr �0`P� <br />NOTE: WIRING IN NON-DNJELLINGS IS REQUIRED TC <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />� 1�lS.�o <br />Contracl Price of Work <br />�i�\\ A.�n �S 1.}7�2�i�_S_.�z <br />Contact Person (Plan Review) <br />1 heraby ceiiily thaf 1 have read and examined this applicafion and know the same tu be lrue and <br />conect. All provisiau olla�vs and ordinances governing this type ol work will be completed <br />whether specd�ed herein or not. The granting ol a pennd does not presume to give authonty fo <br />violate or cancel the provisions ol any other stafe or local la�v regulafing consVuchon or the <br />perfonnance o/ consfruc6on. Thaf I ant aulhorizeJ by fhe ouner o/ fhis F r�perty fo pe�inrrn the <br />work lor which applicafion is nradc- and 1 compl}� with fhc Sfate ConL �ctors La�v 1827 RCW and <br />296.200 WAC. <br />FEE <br />! ' `j <br />