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ELECTRICAL F�ERMIT 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 /><�1�� �M�O����� ,��. <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />��'������ ��w��� -- <br />Tenant Mail Address <br />Cily <br />City <br />Slale/Zip <br />StatelZip <br />Phone <br />•hone <br />Ul,\�-� �l.Fi,jf'-�C.. ,(�'i-1 �o��;--� PT ��U� 1�M!1��2..`-I l �f+-��^�i-N/.r ���1'-S <br />EleCirical Contraclor Mail Address Ciry State/Zip ,I Phone <br />=e.. C\`1 Ull� <br />l;��n� �=L. �,�� �� <br />Stale License Number <br />�"1'�c_i Iv.Jili2r�atJ�( �a�F <br />Proposed Use ( Building <br />Descriplion of Work lo Be Dane: `'nn LS� <br />� <br />L��S��� wA�-�`���,�s� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIP.ED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�r- <br />1 1 ��� <br />Conlract Price of Work <br />Conlacl Fvson (Plan Rovicw) <br />U!1%�� 5P� c: <br />I herebvi certily thrif I have �ead and examined Ihis applicafion and kno�v fhe same to be true and <br />conect. All provisions o( laws and ordinances governing (his type o/ wo�k �vill be completed <br />whefher specdied he�cin or noL The granting o! a pemut does nol presume to c�ive aufho�ify to <br />violafe or cmicel the `novisions o(any othe� sfa(e or local la�v iegulafing construcUon ur the <br />pedormance ol construcfion. That I am aufhonred by fhe o�vner o(this property fn �erform the <br />tt�ork /g r� u�hich applicafion is made and I comply �vith the State Contractors Lau� 7827 RCW and <br />29G.2c1� WAC. <br />, = �����z-- `� � �`��'� - <br />� �n� <br />FEE <br />I <br />���� � o� � i � � <br />