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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 />� ��. � Ls/ �//�v�P7�� /lir4,ll /si �/ <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />��, ��4w l< �.�z sw <br />Mail Address <br />Mail Address <br />City <br />City <br />State/Zip <br />Slale2tp <br />� <br />Phone <br />I�S� �'/_��„� � � vli 7.? S�s,� ��.�,,./1' �� SJ�z�3 �i.cs 3s"s-s3 <br />Eleclrical Conlraclor Mail Address Cily StaleiZip Phone <br />t� s�-� � .� �- o,zz �z <br />Stato Lfcense Number <br />%i /-�CP . <br />Proposed Use of Building <br />Contract Price of Work <br />Contact Person (Plan Review) <br />DescripUon of Work to Bo Dono: %'��G ' 4�' C-L(.b/ � �' __ <br />NOTE: WIRING IN NON-�WELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 here6y certify that 1 have read and examined fhis applicafion and know fhe same fo be t�ue and <br />correct. All provislons of la�vs and ordlnances goveming ffifs type o( �vork wi116e complefed <br />ivhetherspec�fied herein ornoL The grantln� o(a perrnd does nof �resume to give authonty (o <br />viola(e or cancel the provisions o/ any other stafe or local IaFv regulating consfructlon or the <br />performance oi constn�ctron. That 1 am authorized by the owner of Ihis property to oedomi fhe <br />work for which application is mndo and 1 comply wifh the Stafe Con(ractors Law 18.27 RCW and <br />29G.200 WAC. <br />FEE <br />C�blu�-Dy`� <br />