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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� /Q vF <br />PROJECT ADDRESS <br />���fC/FjG /7 t�f' �.� S'c� i� i,C' � G C <br />Owner Maii Address <br />Ft/_F��-�% �.�>,�� � T-v%v', <br />Tenant Mail Address <br />%Z i� FGc�V/l (,U/_ S'i <br />�IGC� �[ r /L ./7 �F <br />City <br />'� _ � i <br />City <br />�i/��'"i% l�'.1 �'/ <br />State/Zip <br />State/Zip <br />�� .� <br />3,3 i -� �!j� <br />Phone <br />Phone <br />United Electric Contractors, Inc. — 5301 South 2nd Avenue, Everett, WA 98203 425-252-7811 <br />Electrical Contractor Mail Address City State/Zip Phone <br />UNITEEC 176 M6 <br />State License Number <br />/ , � <br />/c�'-� 17 ��c-rj °�" �c/ �i ii /!JG �vc�%> �.� <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />���._3 .� ,� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: � �� �X 4 i7 ��c%�-'�_S � L���i i j.c�'c; �%C .j <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 />I hereby certify that 1 have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governm� fhis type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authorrty to <br />violate or cancel the provisions of any other sfate or local law regulating construction or the <br />performance of construction. That 1 am authorized by the owner of this �roperty to perform the <br />work for which application is made and l comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. /. <br />�z 2 %G <br />FEE <br />� 3�s���. <br />� { V � fi� '. `c/� <br />