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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES ��_�o �,s <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everetlwa.org [ Os� �-"� �3 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />`�;33C., R��Ck�' \� �� P _ <br />PROJECTADDRESS <br />C�«�AA���; �e�� 43.'�U i�uc�e�- 1\ve �-.voti v�1-t- r\n�H ��;ti� i42��303-5'�GI <br />Owner MailAddress City SlatelZip Phona <br />�� <br />Tenant <br />Electnwl Contractor <br />�C�N�lEkz11N�� <br />Stata License Num6er <br />�����L�_� � <br />Proposed Use ol Bullding <br />Descnption of Work to 8e Done: <br />Mail Address <br />Mail Adtlress <br />NOTE: WIRING IN NON-D�NELLINGS IS REdUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1� <br />Qry <br />01 <br />Slate/Zip <br />5!ate2ip <br />�' ��.�� <br />Coniract Pnce of Work <br />Phone <br />Phone <br />�,tiaU�'1e_ Gl�ler�����r- <br />Contact Pe on (Plan Revicw) <br />I here6y certi(y thaf I have mad and examined lhis applicalion and know the same to 6e true and <br />correct. �111 prowsrons o/ la�vs and ordinances govermng fhis type o( work will be completed <br />whefher speafied herein or noL The gran;;ng o!a permd does net resume to give avfhority to <br />vioiate or wncel the provisions ol any other sfa(e or local law 2guPting ccnstruction or the <br />perlormance o(const�uc6oa Tl,al 1 am authon:ed by the owner o/ this property to parform (he <br />�rork lor u.hich applicahon is made and I comply with fhe Stafe Confractors Law 18.27 RCW and <br />�--. l�/9.�:(zc.oS <br />FEE <br />