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ELEC�'RICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881 G- FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />2.815 1� T� <br />PROJECT ADDRESS <br />� <br />Owner <br />-- �c (}/�E. <br />Tenant <br />s�-. ' E.,-e,re� <br />2515 I�'T� S� <br />Mail Address <br />/�-�jOV C. ^ <br />Mail Address <br />�.1 �l�k�« <br />� <br />Elect ical Contractor Mail Address City , <br />� D� <br />wYcD��c�3zoP �����1 <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Stale/Zip <br />State/Zip <br />State2ip <br />'��300 <br />Cantract Price of Work <br />la(`C� /�.�u�� <br />Contact Pe on (Plan Review) <br />��+� �+.¢.l w! <br />w JD . 1 �.s�i-a <br />� � � <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />1 hereby certity that I have read and examined fhis application and know the same to be true and <br />conect. All provisions o/laws and ordinances govemmg fh�s type o! work �vill6e completed <br />whether specdied herein or nof. The granting of a permd does notp resume to give authonty to <br />violate or cance/ the provisions of any other state or local law regulating construc6on or the <br />performance ot construct�on. That I am authorized by the owne� of this property to peAorm the <br />work for which application is made and 1 comply with fhe State Contractors Law 18.27 RCW and <br />296.200 �VAC. <br />FEE <br />�dscg _oas <br />Phone <br />Phone <br />Phone <br />