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ELECTRICAL PERIVIIT APPLICATION <br />CITY QF EVERETT PERMIT SERVICES <br />3200 CEDAR STRE�T, EVERETT, WA 98201 <br />425-257-8810 - FAX �.25-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />; � ;� ;: - `- �� '�1 C l, r i��%'sc>y <br />, <br />, l � , � l � � " a' ., � ��T �, <br />� <br />PROJECT ADDRESS <br />-' �r'��, �f� � G.GC�ti� ;�� l'Qi/5�/7��'LCU ����t�c� fl ��/� !�'�%" ��iJ�)`/�'d' <br />Owner Mail Address City Slate/Zip Phcne <br />.�j _..���i <br />Tenant Mail Address Ci!y State/Zip Phone <br />Electrical Contractor Mail Address <br />State License Number <br />I�;C (1i ��� (i:�(� I `iV I n4 �-Int; r.(' . -- <br />Proposed s� e of Building <br />Description of Work to Be Done: <br />/.•' ��( � <br />�, <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 />StatNZip <br />Phone <br />Contract Price of Work <br />ConlactPerson (Plan Review) <br />1 hereby certi(y ihat I have read and exarcined this application and know Lhe same to be true and <br />r.onecL All provis�ons o/laws and ordinances govern�ng this type o( wo�k �vill6e completed <br />�.vhether specdied herein or noL The granting of a permu does not presume to give authority to <br />violate or cance/ (he provisrons o( any other stafz or local law regulating construchon or the <br />perform2nce ef construction. That I am authorized by the owner o( this property to peAorm the <br />wcrk for which application is made and 1 comply with fhe Slate Contractors Lav✓ 18.�7 RCW and <br />296.2U0 WAC. <br />'1 LI .I <br />. ./[fli�i �� � A1/(r'� ..(i -- <br />� <br />FEE <br />i, <br />/c�tC�/.^ <br />;���,�C�l <br />� <br />