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ELEC�'RiCAL 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 - DEBIT 8 CREDIT CARDS ARE NUT ACCEPTED <br />� o( � �. � Lu �'In `��Y'2P�-�' _ <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />Cily <br />StatelZip Phone <br />12n�s r���d vY�t��k i�c�� �l�-i�v� S-I-� �vev-� �cJ� 9��-o I <br />Tenant MailAddress City State/Zip Phone <br />Contracto� Mail Address <br />�-� t � lt �r �1 ���7 =;� I C� <br />Stat�Cense Number <br />� e� ��1. � �-1-(">��� <br />Proposed Use of Building <br />Description of Work lo Be Done: <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 />City <br />5 �.c� c..�a �Y13�( 2c�(� 2 <br />State/Zip Phone <br />`�� l �f 5. � � <br />:.on!;act Price of Work <br />CorAa-1 Person (Plan Review) <br />FEE <br />y certily that I have read and examined lhis applicafion ana know fhe same to be f�uo and <br />. All provisions of laws and ordinances govemmg fhis type ol work will be complefed <br />r specified he�ein or noL The granfing o/ a permd dnes not resume to give authonty fo <br />or cancel the provisions o(any ofher state or local law reguPling consWclion or the <br />iance o( consfruchon. That 1 am aufhonzed Gy the owner o/ fhis propeRy fn peAonn fhe <br />r�vhich application is made and I comply wifh fhe Sfafe Conlracfors Law 18.27 RCW and <br />0 WAC. / <br />(�i, ,� 7� � � i l� n i. �/�__ <br />�O ��G�� -� <br />7S . O C. <br />�!S <br />