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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, Y✓A 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPI.ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� ��� � CC��, �� I <br />PROJECT ADDRESS � <br />Owner <br />Cby <br />State2ip <br />io�a =_c^� <br />CO )IO—!22 <br />Phorre <br />y:t; 2rG- �y�� <br />Tenanl MailAddresa City Stale2p Phone <br />360-�1 � �o <br />�C�i>In ��n�-�-�`�c. �t3r•�� .��5 �i� I,,,a�A� 982.ZZ �� <br />ElectricalContreqor Ma�7Addreas <br />�C:G.� � r �. 27:3mv <br />Slate Ucense Number <br />� �h <br />Proposed Use o( Building <br />Description of Work to 8e Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceRily thal I have read <br />correct All provisions ollaws a <br />whe�her specified herein or not. <br />violate orcancel the provisions <br />pedomiance o/construction. T� <br />work lor wlrich applicalion is mb <br />296200 WAC. . _ <br />City <br />State/tp <br />2�(J�GG <br />Contrad Price of 1Nork <br />Contad Person (Pian Review) <br />this applicalion and know B�e same lo bc fnro and <br />govem�nq th�s type o/ wo�k wi116e com�leted <br />�f a permA does not presume fo give authonty fo <br />rte or local law regulating mnstrucfion or fhe <br />ized by (he owrrer o/ fhis properfy ro perfam fhe <br />y wdh the Slate Confracfors Law 18.27 RCW and <br />/D- 'Lz--U`�1' <br />FEE <br />(=���]iU- � ����.�i <br />Phone <br />