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.� a � <br />ELECTRICAL Pl�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425•257-8857 — www.everett:va.org <br />APPLICATIONS ARE ACCE"TED FROM 8 AM TO 4 PM <br />� <br />r.,«.�,«� n <br />PROJECT ADDRESS <br />i�✓G�/ M�j ��)� %S/�i /75%�^ S� N G�H�t✓n� ✓��R 71�%j � <br />I Owner 61ailAdtlress City State/Z�G Phone <br />I Tenant <br />61aJ Address <br />i,✓_. ,i !.-, . . /� <br />Sla1C2�D <br />Phcne <br />� .'.^ � t iY �'_-�-� �3�� /� /iin --� .a J% ��i �.. v�/�' C l�y0 `/ .%'i �j C�7S >)i.7 <br />EleUricalCoN�actorT� PdaAAtldress City StatMLp Phoae <br />�-u.ui,✓d 5 � 3l31 <br />State License Number <br />? �t:! <br />Proposed Use of Budding <br />N� <br />Sry�iare Foo�age (I( residential nev+ cons�ructio� , re;nodel or addilion) <br />i> O00 <br />Contract Price of Work <br />Contac; Person (Plan Reviev+) <br />Descnption of Work to �e Done 7--. � --: � � e� ,. /.� �� , : . � s s i '� .�-. {� _ -i� f � �,-.� � I <br />,.�r <br />NOTE: WIRING IN NON-DW[LLINGS IS R[QUIRED TO <br />BE IN RACEWAYS. MC OR AC CABLE . <br />CITY OF EVERETT LOCP.L SALES TAX CODE IS 3105 <br />FEE <br />I hereGy certify that I have read and esamined this applicafion and know (he same fo Ge true and <br />comcL All p�ovisions ollaws and ordinances governing fhis type ol work wdl be cornplefed <br />�vhc(her speci(ed heiein ornoL The granfing ol a p�rrmd does nol msumc lo give authonty fo J�� <br />v�olafe or cancel fhe provisions ol any oflier s(ate or local lmv ieguPhng constn�ction orlhe ���j v <br />perlonnance o/cons(ruchon. Thaf 1 arn aulhonzed by the owner oI thisp �operty lo perlomi fhe <br />�vork lor �vhich npplicafion is made and I compty �vifh fhe Sfale Conlractors La�v 18.27 RCW and <br />296.200 WAC <br />� <br />