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e <br />ELECTRICAL PERMIT APPLICATION <br />GITY OF EVERETT PERMIT SERVICES <br />3200 CEDRR STREET, CVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —v�nvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TC� 4 PM <br />� � � � ��'"l;'i�C��t%�\�/ <br />PROJECTADDRESS � <br />Owner <br />� �^ � <br />Ten2nt <br />� r � �� <br />Electrical Contractc <br />Mail Address <br />Mail Address <br />Mail Atldress <br />l3c�.��r v ��'c. o4h ��� <br />State License N mber <br />Proposed Use of Bwld�ng <br />Description of Work ta Oe �one: (� ) ti, _ i� <br />Gly <br />City <br />Slate/Lp Phone <br />Phone <br />r w� ���;� o � � ���5- »�-� <br />City � Stafe/Zip Phone <br />/�'�. �a <br />Conlract nce of Work <br />�Xel,� �-i�l�i✓ll(.� <br />Contact Person (Plan Review) <br />_.:,,,_A !�l L ��I� �vlc�sr�rlc� UC�Ii-r'v- , � <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 31U5 <br />I here6y certily fhat I have read and exarnined (his application and know fhe <br />correcf. All provisions o//aws and ordinances govemmg this fype o/�vork w� <br />whether specilied herein or noL The granling ol a pernuf does not presume <br />violate or cancel fhe provisions ol any ofhor slate or local law regulaling con. <br />peAomiance o� constroction. That ! am authonzed by tho owner ol tAis prop <br />work lor which applicafion is made and I cornp/v �vilh fhe State Confractors L <br />Z <br />1=EE <br />� fo Ge frue and <br />compleled <br />ie aulhoritylo <br />'ion or the <br />o perfonn fhe <br />8.27 RCW and <br />�0(� OZ—Gd8" <br />.7J I <br />