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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 PM <br />// �i'c /'���FiG ���' <br />PROJECT ADDRESS <br />� ^ <br />,� �`1�:-F1� /�'/ ` � �s - =`— `" <br />i'_( V <. i �1.0 <br />[-� -,�7 7 <br />� ' �/J�� ���� r�I�- i�✓�" �i�=�� `i� v�'� `?S'�✓� �3>-_�3� <br />Owner Mail Address City State/Zip Phone <br />p ��z r` <br />.. v v `—/i�! / .. i 1 � , _ � �i/ ��� 1� � / �j���J � ,�L . f !a.. r%1 V �/��i�—��� � �/`,� �' �.�-�/ .� � >- ,� y3 <br />� <br />YJ �, � <br />Tenant Mail Address City State/Zip Phone <br />United Electric Contractors, Inc. �- 5301 South 2nd Avenue, Everett, WA 98203 425-252-7811 <br />Electrical Contractor Mail Address <br />UNITEEC 176 M6 <br />State License Number <br />OFFi�.E <br />Proposed Use of Building <br />Square Footage (if residential new construction, remodel or addition) <br />C ity <br />State/Zip <br />/��� <br />Contract Price of Work <br />.���G�� ��/��1�'?_F.�' <br />Contact Person (Plan Review) <br />� <br />Description of Work to Be Done: �Fi/G_F /� .2 �' �G vl>j� ��.3�%" <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 />1 hereby certify that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether spec�fied herein or not. The granting of a perm�f does not presume to give authonfy to <br />violate or cancel the provisions of any other state or local law regulating construcfion or ihe <br />performance of construcfion. That 1 am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contracfors Law 18.27 RCW and <br />296.200 WAC. <br />� ,/% �U'`�L_- � /.2 �/r'�� � <br />Phone <br />FEE <br />�1�12—��s� <br />�� , "� <br />