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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8610 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ;� ��� �'�./G�� <br /> PROJECT ADDRESS <br /> l���,�J %6 �,✓ s"�.y+ � � ���' `��a�l <br /> Owner MaiiAEdress Ciry Stale2ip Phone <br /> Tenan� Mafl AdOress City SWtefZip Phone <br /> /l �- �- IC�'�ss; �. <br /> Eleclrical Conlraclor Mal Address City State2ip Phone <br /> State license Number Conlrad Price of Work <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> �escription of Work to Bo Oono: i.��� Sl �T L/� �Y,���l ^ / � � G /��"/J�/��'�u1 � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FE� <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceAily fhaf 1 have read and examined fDis appficafion and know fhe same to be frue and <br /> cormct. All provisions o/laws and ordinanr.es govemmg(his type of�vork will 6e completed <br /> whether speulied heiein or not The granting ol a pernut does not presume to give aufhonty fo � <br /> vio/ate or cancel the provisrons ol any other stafe or local/aw regulating consfrucfion or the n �a <br /> perlormance o/conslrucfion. That f am authonzed by the ownero/this property fo peAonn the I"� ,3 � <br /> �vork lor which applicafion is made anA I compty with the Sfate Confrectors Law 1827 RCW and � v p <br /> 29G.200 WAC. <br /> / <br /> ,�,i`;�L, l, �,,.." � . L_� �. <br /> Signature Date <br /> � <br />