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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 ACCEFTED FROM 8 AM TO 4 PM <br />/�'� ��%�Si S�J �o%�i <br />PROJECT ADDRESS <br />��� l.;�l <br />Owner <br />Tenan� <br />, <br />I�'�.1� L� S �%�`(�✓I ��' l <br />i <br />Mall Address <br />Mail Address <br />Cily <br />City <br />����-r,���. Elet ;.�G i,�6i5 Gnu�';lte� <br />EI rical Contraclor Mail Aeeress L\, V��� <br />J <br />�li'1�'! S � �� � �S <br />5 ate Li nse Number <br />�e s; �e„� '�, ( _� <br />Prapusuu Usc ol Duildin9 <br />Descriplion ol Work to Be Done: <br />� 11� — ZGU <br />U� l `�' <br />NOTE: WIRING IN tJON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CPOLE. <br />Slale/Zip <br />Ci t <br />Slate/Zip <br />�, , <br />SlalelLp <br />Z s � 4 aZ -�ZZ <br />Phone <br />Phone <br />Z-od -57�-�lc�s <br />Phone <br />Coniract Price ol Work <br />Contact Person (Plan Roviow) <br />,�1,�,� 5���„ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I haeby certily fhnf I have rend nnd examined Ihis epplicnlian nnA know fhe snrne fo be frue anA <br />conect. All provisions ollaws and ordinenr.es govemmg fhis lype ol work will be cornplefed <br />whether spec�lieAherein or noL The grnnfin� ol e pennd does not resumo to �ive eufhority lo <br />vinlefe or cnncel fhe provisions ol any ofh,er stafe or locel law reguPling consfn�cUon oi tho <br />pariormance o/ consirucfion, That 1 nm eufho�ized by Ihe owner o/ fhis property to perlorm fhe <br />work lor which applicahon is made nnd 1 comply wifY, fhe Sfafe Confrnctors Law 18.27 RCW and <br />FEE <br />r1� v � c�.>� <br />