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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.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> t� 1333 cHr�TNvTST, �-c � <br /> PROJECT ADDRESS <br /> NA'Ht�L (3R� Cd'�"�_ ��.a. �7�A�.n1 - CUCRE.� ls.�. 9d2aS y2S-3�f1-�360 <br /> Ownef Mail Address Cily SWIe2ip Phone <br /> Tenanl Mal�Address Cily S�ale/Zip Phone <br /> Electrical Contractor Mail Addrass Clty SlalelZip Phone <br /> Slate Ucense Number Contract Pdce of Work <br /> �Enn P. <br /> Proposed Use ol8uilding Contact Person (Plan Review) <br /> Description of Work lo Be Dono: ��M� E L�CT, <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCHL SALES TAX CODE IS 3105 <br /> I here6y certily fhat I have read and examined this application and know fhe same to bo frue and <br /> correct. All provis�ons ol laws and ordinances goveming this fype ol work will be complated <br /> whefher specified herein or nof. The granfing o/a permR does nof presume to give aufhonty to <br /> violate or cancel fhe provisions ol any other stafe or local law regulafing construcfion or fbe <br /> peAormance ol construction. Thaf 1 am aufhonred by fhe owner ol Ihis property to peAorm fhe <br /> work lor whicb applicafion is made and 1 comply wdh the Sfafe Conlractors Lew 18.27 RCW and <br /> 296.200 WAC <br /> t� 9'13�� <br /> Si nature Data <br /> � O�{GS- CP 3 <br />