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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 />� <br />���� �/��"���. �i���'�� ����� ��.�G�✓ <br />PROJECT ADDRESS <br />r�i�l��'i�/% C.�i <br />Owner <br />Tenant���'`%° � <br />-�i�Gt�a�����`i°�:� <br />/ �` a r A �. r� �.A <br />Electrical <br />,. , � <br />>%��-����'��� � <br />State License umber <br />Proposed Use of Building <br />� <br />Mail Address <br />: Mail Address <br />� <br />Mail Address <br />City <br />City <br />r ��G� "%l.�r <br />City <br />f) <br />State/Zip <br />Phone <br />StatelZip Phone <br />, .� `f�'�,�`�% ���� <br />State/Zip <br />,�`f�'��..� <br />Contract Prci e of Work <br />Contact Person (Plan Review) <br />Phone <br />NOTE: WIRiNG IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have read and examined this application and know the same to be true and <br />correct. All provrsions of laws and ordinances governin� this type of work will be completed <br />whefher specified herein or not. The granting of a permit does not presume to grve authority to <br />violate or cancel the provisions of any ofher state or local law regulafing construction or the <br />performance of consfruction. That I am aufhorized by the owner of this property to perform the <br />work-#or which applieatior�ismade and-1 comply with the-Stafe-Eonfractors Law 18.27 RGW and <br />296.200 WAC. <br />A%' ,,��` s�� <br />FEE <br />���� <br />����,��-d�� <br />