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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 />51 �0 I r k:.I�L , '� C�,L�E.h��i�,� <br />PROJECT ADDRESS <br />Ownef MailAddress CityN Slate/Zip Phone <br />7 <br />Tenant UNail Address <br />Phone <br />�inrll ,��k �IS f �7 u�'�oJ�� �� �o��+�;� lv�}-�`�`f�c� U7��Jyr��,� <br />EledricalContractor MailAddress Ciry Slal Zip Phone <br />�C':T�.�C T��� J 3 ��S I G 0. OQ <br />State License Number Contract Price of Work <br />L�+n�,�:�;� �l i►� g2������1� <br />Proposed Use of Building Contact Person (Plan Review) <br />� ZciC- <br />Square Footage (If residential new construclion, remodel or addition) <br />Description of Work to Be Dane: <br />/ <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. SD� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br />1 hereby certily that I have read and ezamined Ihis applicalion and know tho same lo be frue and � 1� I �.-(`� /,O <br />correct. All provisions o/ laws and ordinances goveming flus type o/ work wtll be. completed l � � Lv0 <br />whefher specified herein or noL The granfing of a pemnf does nof resume fo grve authonty ro <br />violafe or cancel fhe prnvis�ons ol any other slafe or local law reguPling construcfion or fhe <br />pedomiance o/ consfn�clion. Thaf 1 am authonzed. by fhe owner ol fhis property fo pedorm the <br />work lor which applicalion is mado and 1 compty wdh Ihe Stafe Conlracrors Law 18.27 RCW and <br />296200 N�AC. / , � <br />