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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 B AM TO 4 PM <br />9`��y �v�� v��' ��rr, ��(P qg�� <br />PROJECT ADDRESS <br />11��' ���RPI. S�rl�Nf.jS '�ANk -- <br />Ownef h!ail AdOress City StatelLp Phone <br />Tenanf R+ail Address Gry S�atelZip Phone <br />�/r� J»�'�t�LS 7JZOG� �}� ��` Si'. �►�1YTc� ��� ��D�B �2S•`�� <br />ElecincalContractor �daiiAddress <br />�s�s� �-a�o�c�w <br />Slate License Number <br />Proposed Use of Building <br />Descriptlon of Work to Be Dane: � <br />NOTF: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RflCEWAYS, MC OR AC CABLE. <br />CITY OF EV[RETf LOLAL SALES TA% CODE IS 3105 <br />Gry StalclZip Phone <br />���7� <br />Con�ract Pnce ol Worf: <br />S��cs�.la+-- <br />Contad Person (Plan Review) <br />I hereby certily fhal I have iead and examined fhis applicalion and kno:v fhe same (o be fnie and <br />conect. All provisions o/laws and ordinances goveming Ihis fype o/ work will be cornpleted <br />whefhcr speci/icd berein or noL The granfing ol a pcnnrf does not iesume (o g�ve authonry (o <br />violale or cancel the provisions o! any ofhei stafe or local law reguPting cons�iuUion or the <br />peAonnance o/ consfnicfion. Thaf ! am authodzed by fhe owner ol fhis pmperty fo perlorm fhe <br />work lnr which applicafion is made ar.d 1 compiy wifh fhe Sfale Conlractors LaK 1827 RCW and <br />2ss.zoo wnc. . , <br />FEE <br />�� � <br />C� 3 l I� O�S <br />