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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />- � �� � <br />;L I,�ti� l� � y 1- <br />PROJECT C,DDRESS <br />Owner <br />Tenanl <br />S� �3 �1� <br />Electrical Contraclor <br />A1ail Address <br />Mail Address <br />, <br />, <br />, <br />, <br />4.- ��%�Yi <br />Mail Address <br />���^Y �� C�� � j� <br />Stale License Number <br />�V �D-1�'v� ��l hl� ��'71 � G� (. ��� <br />Proposed Use of Building <br />5 � 1 �- `j a� <br />Cily <br />City <br />> S � ,�L,�� l <br />��cuy <br />�� ��1 f,���-���' w: <br />State/Zip Phone <br />��S <br />��`j—ol�y <br />Stale/Zip Phene <br />� y��l v�L� aa�� ��E 7s`SC�� . <br />Slale/Zip Phone C, <br />��� C). C% �) <br />Contract Price of Work <br />ConlactPerson (Plan Review) <br />�/q / <br />Descriplion o( Work lo Be Done: ��LL. � L' �i �� ��� �'�� J� C L� <br />.., i� � <br />i ll '.1— � .� I r <br />NOTE: WIR!NG IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS. MC OR F,C CABLE. <br />CI i Y OF EVERETf LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily fhaf I have read and exaruined fhis applicafion and kno�v (he same fo be Vue ar�� <br />correcL All pravisions ol Imvs and ordinances govermng th�s type of �vork will be co.vipleled <br />whelher spec�6ed herein or noL The granling ola pernuf does nof preaurnc- to give aufhority to <br />violafe or cancel the provisions oI any olher stafe or bcal law regulaiing constiuction or the <br />perfonnance e/construc6on. 1'hat I am airthorized,by the ownero(th�s property to peAorm fhe <br />work lor whicl; application is made and 1 comply u,�th !he State Con(ractors Law 1827 RCW and <br />296.200 WAC. , � <br />C -�_ <br />FEE <br />