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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 Ph1 - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />'j_ I I I C, Z'`"t S� S i <br />PROJECT ADDRESS <br />`MAti,,�.�. �\� ..oF<<-�-,.�_S 7_'-;r. <br />Owner Mail AdAress <br />Tenant <br />Mail Address <br />7. 3! ' `` S � <br />City <br />Cily <br />� <br />�,J 'C� c � c � <br />Slate/Zip <br />Stale/Zip <br />Zn`'LiZ-1�81 <br />Phonc <br />Phone <br />S��`�or�cS� �f_l.ec��-r•c, P-�e[ 2Z� �no�a••-.�5� �1Ls-33s-��s'� <br />ElecUical CoMradur M11ail Aaeress Clry Slate2lp Phone <br />�i <br />J�G�.o (=i ll0 P � <br />State License Numbcr <br />' - <br />��> ��-� �`�_ <br />Proposed Use af Buildiny <br />Coniract Price of Work <br />Contact Person (Plan Roview) <br />Description ol Work to Bo Done: t�. 1_�.��-�� , n n �_. Cr.�....ty �� -���_ -�--C- �- ��-+— <br />NOTE: WIRING IN NON•DWELLINGS IS RE�UIR[D TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOGAL SALE5 TAX CO�E IS 3105 <br />y��ertily fhaf I hove read and exanuned fhis applicafion and know Ihe snme fo be tiue nnd <br />411 prov�sinns ol laws and ordinances govr,mrng fhis type ol work �vill be complefed <br />r specilied he�em or not Thc granting ol a permd does nof resume fo give aufhonty fo <br />or cancel fhe provisions ol nny ofher stafe or local law requPhn�7 construcfion or fhe <br />ience ol consUucfion. Thaf / am authorized Gy the owner o! f/ris propeRy fo pedorm fhe <br />r which app6catinn is made and I comply wifh the Sfate Controctors Law 18.27 RCW and <br />7 WA C. _ � <br />� � �U5 �V y <br />FEE <br />SS.-- <br />2 ��G1 <br />�� . <br />