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ELECTRICAL PERMIT APPLICATION . <br />, <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 />�iZO I►'�c�evc,,it� s�;rzc=E`� ' <br />PROJECT ADDkFSS <br />Owner <br />Mail Address <br />Ciry <br />State/Zip <br />� _ <br />< <br />Phone <br />�l/��rt0 �va�/ ;izc iMc7ouc„n� `>'; E��Fn.:r, wa `1S2c�i <br />Tenanl Mail Address Cily Slale/Zip Phone <br />/�Acir�L Con���,�:,,c�tnou� cqTc.,N�� _�D(��+yE2�vEi2sivCU.CC�. h'oTi�Cfi�IJA. JbU%/ <br />Electrical CoNraclor A1ail Address City StaleiZip Phone <br />y1S-yf3-5' <br />j�i=1 C i�CC 9�'L D� <br />Slale License Number <br />f>A1i� 7G/c c-i it L <br />Proposed Use af Buildinc� <br />Conlrect Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: %�� �� �� .��1���-) D-� %i1 c���(i� �ti'v c+N'L y/ <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 hemby coriily that 1 have read and ea.�mined fhis application and kno�v Ihc same to be true anJ <br />conect. All provisions ollmvs mid ordinances �overnm� fhis fype o( woik �vill be complefed <br />whefher soecilied herein or noL The granfing ol a pemut does no( p�eswne fo give auU�onty lo <br />violale or cancel the provisions olany ofher state or local latv regulating construcfion or the <br />perfermance o/ construc6un. Thaf 1 am aufhonzed b}� the uwnor ol this p�operty fo peifomi the <br />u�orh lor ivhich application is madc and 1 comply wdh U�c Sfate Contiaclors Law 1827 RCW and <br />29G.200 WAC. <br />�. <br />C- <br />FEE <br />� �lG�-�3�, <br />