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ELECTRICAL PERMIT APPLICATION <br />CITY OF �VERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — v�.�nvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��� '� Q � s�) <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Electrical Conlraclor <br />Mail Address <br />Mall Address <br />Address <br />� City <br />Clly <br />21�8 <br />Clty <br />V/i-P�L��4I� �C� - <br />Slale Lfcense Number <br />Proposed Use of Building <br />Descriplion of Work lo Bo Dono: <br />g141�� <br />EIIOq��� <br />�,J �tl�''� <br />Y I r /� <br />W / � � �'/ �Z.J � <br />Stale2lp Phone <br />SlateZp Phone <br />�v��.�ivv�e (�%� �183�� <br />s�aerz�p�36�� ZGS PStioy <br />� <br />� 900 <br />Conlract Pric3 0( Work <br />Contact Person (Plan Review) <br />�' - - - � '• <br />- - <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />C�TY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />I heroby certily fhat 1 havo read nnd exemined fhis applicalion and know fhe same fo be true and <br />correct. All provlsions ollaws and ordinances goveming tlils type oI work wi116e complefed <br />whefher specilied herein or noL The granfing o(a permd does nof presume fo glve authonty to <br />violatoorcancelfhe provisionso/anyofherstefeorlocallawregulefingconsfrucllonorfhe <br />perlomiance o( construction. That 1 am aafhonzed by Ihe owner o/ lhls property to peAorm the <br />�vork lor which application (s mado ond I compty wifh tho Sfate Confrac(ors Lew 18.27 RC W and <br />296.200 WAC. <br />L <br />