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ELECTRIC14L PERMIi APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — v,nvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� �i 23 � ��`.�1v�e� VU <br />PROJECTADDRESS <br />I Owner <br />Tenant <br />r <br />�S �/ <br />ElecMcal Gonlractor <br />Slate License Number <br />Praposed Use o( Building <br />�� <br />Mail /lddress <br />Mait Address <br />r <br />Mail Address <br />`)i, �C Uv <br />Gdy <br />City <br />City <br />Square Foolaye (II residential nevr consiruclion, remode� or addilion) <br />Description o( VJork to Be Done: �j� �� <br />;L U4 rv �v! <br />StatelZip <br />Slale/Zip <br />StalelLip <br />Conlract Price of Work <br />Contacl Person (Plan Review) <br />(�O�i - �"�� (- <br />5� <br />Phone <br />Phonc <br />NOTE: WIRING IN NON-DWELUNGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CAI3LE . <br />`�O� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify Ihat ! haie road and examined lhis applrcalion a��d kno�v (he sarne (o Le In�e and <br />r.onact All provisions o/laws and ordinances govern�ng thrs type oI work will be completed ( 2� -(� � <br />�•:he(herspecfied he�ein ornoL The g�sntin,q o(a permd does not presume (o give au(honty fo <br />violale orcancel (he provisions ol any other stale orlocallaw regulafiny construcGon or �he <br />perfonnance o(conslnic(ion. Thaf I am aufhorized by the ownerol th�sp roperiy (o perfonn Ihe <br />�vork (or �vhich application is made and 1 comply tvilh lhe State Confiac(ors La�v 1827 ftCW und <br />296.200 WAC. <br />/ <br />�, --- 6�,��v <br />1 <br />� <br />