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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �� a,11 u <br />425-257-8810 - FAX h25-257-8857 — www.everettwa.org r��� _�9� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�l� C/(1 �/'i1�S1 �!./d \� <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />Mail Address <br />Mail Addresa <br />Electrical Contractor Mall Address <br />� r <br />State conso Number <br />��1� ����` J 7�zLl`�ta-: � <br />Proposed Use of Building <br />I�escription of Vi ork to Bo Lono: <br />� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CIl Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />Ciry <br />� Lr/� <br />g����p Phone <br />Slate/Zip Phone <br />City Slale/Zip rnona <br />�--v��o �-- <br />Contracl Price oi Work <br />�� '� // �QL //� 7� . <br />Contact Person (Plan Roview) <br />1 hereby certiry thaf 1 havo read end examined this application and know tho samo to be fruo and <br />correcf. All rovisions o(/aws and ordinances goveming this type o/woric will be complefed <br />whefher speplied herein or nuL The granling o( a permd does nof prosume te g(ve authonty to <br />violafo or cancel the provisions of any other stafe or local law regulefing consfruction or iho <br />perfomiance ol construcfion. That 1 am aufhonzed by the ows�er o/ this property to perfomi the <br />wor4 /or which applicaffon !s mado and 1 comply with fho Sfate Confrsctors Lew 18.27 RCW and <br />296.200 WAC. <br />FEE <br />� <br />����� - l 93 <br />