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ELEC�RICAL PERMIT APPL�CATION <br />CITY OF EVERETT PERM17 SERVICES <br />3200 CEDAR STREET, EVERETT, \NA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />k�a o q����� s E E��.��,` <br />PROJECT ADDRESS <br />� �3b —lC� <br />�o� �-� �Y <br />�an Sch.n�� �7,2o R"�_��c .�c� s.`'v�.•ff� W� Y%5�-330—/Yo9 <br />Owner Mail Address Ci:y State/Zip Phone <br />Tenant <br />Eleclrical Contractor <br />State License Number <br />Mail Address <br />Mail Addrr,ss <br />Pt �S o n S/ R{ S t.0 l? / G <br />Proposed lise of Building <br />Ciry <br />City <br />State2ip <br />State2ip <br />Contrad Price of Wo�k <br />Contact Person (Plan Review) <br />DescriplionofWorktoBeDone: �K�s.t.C�n�� �. �coe�ao�tS !n C���in <br />� <br />�.�-l-It-fl �,,,� /(��f�. <br />Phone <br />Phone <br />NOTE: WIRING IN NON-DWELLIPJGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 — <br />1 hereby ceRily thaf 1 have read and examined this application and know the same to be We and �/�^�iv / J„ <br />correcf. All provisions o/laws and ordinances govemmo this type oRvork will be completed C t1 —(J���, <br />whether speci�Pd herein or not rhe granting of a pemn"t does not presume to give authonty to <br />violate or cancel fhe provisions o/any otherstate orlocal law regulating consWcbon or the <br />pedomiance o/ constroc6on. rhat I am auihonzed by the ownerol this property lo perform the <br />work for which application is made and 1 comply with fhe State Contraclors Law 13.27 RCW and <br />296.200 WAC. <br />