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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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />J�%'�� ��1��k-hCi� . �V�. �'\i.� C i���—(..�� <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />L�( �ii�c� c; <br />City <br />� . �'i�fis'�2, -1'L��l��+-I I <br />State/Zip Phone <br />1-iz, �� � l-�� �-�= T�rry��,�� ?�1{)� Cin��tr��Gi , uJ �'t g 2-Ol �I-2��2���i �,1�� <br />Tenant Mail Address City Slate/Zip Phone <br />EleClfIC81 COf1ff2ClOf Mail Address <br />Slate License Number <br />_i�l)�f' � ��.:. <br />Proposcld Use of Buildin� <br />Ciry <br />Stale/Zip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Descriptiono(WorkloBeDone: �l ��l�IX= CU1C� 4)�(,l(�_ ('_�C�"�{I�U� ���1-� C�C((f>j <br />�1.� ;�� , C`�Y V�L. ��vI�LI A�fCJ� .. , C�'vei� V�l��l CC'1'llE'-iA�" �D �l� �j� <br />r - <br />_���� � r��� �iZ ��At!��,il(.-� �l�C�r+iC � — <br />NOTE: W IRING IN NON-DWELIINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily (haf I have read and examined fhis applicafion and know the same to be true and <br />correct. All piovisions o(laws and ordinances �overnmc� (6is type of work will be completed <br />�vhefher specdied herein or noL The grantiny o/a perrmt does nol resume to give au(honty fo <br />violate or cancel the provisions o( any ofher sfate or /ocal law reguPtin� construcfion or the <br />peifonnance o/ cons6uc6on. That 1 am authorizsd by the owner oI this property to perlorm the <br />�vork lor which applicafion is made anA 1 compty wifb the Stafe Contractors Law 18.27 RCW and <br />�, <br />FEE <br />���J <br />� <br />�cG��`Z� <br />