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ELEGTRICAL PERMIT APPLICATION <br />CITY OF EVEREiT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br />APPLICAiIONS ARE ACCEPTED FR(1M 8 AM TO 4 PM <br />3 `i =� }�j 1� � z��.�1 � _� �-rr- � =' � ��s-� <br />PROJECT ADDRESS <br />�. c />P �' m�T <br />Owne� Mall Address City Sh�le/Zip Phone <br />Tenant <br />Mail Address <br />Ciry <br />Slate2ip <br />Phone <br />�� �11.5 -� �`I <br />C �. � � �, � ? :> \ `vJv C> ST CJ.� l.`.", �8'2,�'7 � �ti n <br />. >�-,�_c't-�� `' � Phone <br />Electrical ConUaclor Mail Address City Stale/Zip <br />SEf'_k�1�:_�� ��11 � �� <br />State License Number <br />��� <br />Proposed Uso of Bui,dinc� <br />Description of Work to Bo Done: <� � F � � � ^� � ��" "` �� � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />xl � � �� �—� <br />Contracl Price of Wo;k <br />Conlact Person (Plan Review) <br />CITY UF EVERETf LOCAL SALES TAX CODE IS 3105 <br />1 hereby cerlify Ihaf 1 have read and examined Ihi� applicafion and know fhe same to be truo and <br />correct All provisions of laws and ordinances gweming this type of work will bo completed <br />whether specified berein or noL The yranting of a pernut does not presume to give authonty to <br />violafe or cancel fho provisions of any ofher sfafe or local la�v regulafing construction or fhe <br />perfomiance olconslruction. That I am aufho�ized by the owneroRhis property to pe�lomi the <br />work for which applicafion is made and 1 comply with fho Stafe Confractors La�v 10.27 RCW and <br />296.200 WAC. <br />\—?_v- �oc� <br />FEE <br />�,41 DI -• 13q <br />