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i <br />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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />_ C�� . � � �' <br />•�l �C� �-. l ��t, /�. �� <br />PROJECT ADDRESS <br />F�<'`,�' �'IJ <br />OWner <br />Tenanl <br />���r�` ��' l ��, <br />Eieclrical Contractor <br />r� •C <br />Mail Address <br />Mail Address <br />'fC ��S'X� ��it����� �1c�� <br />Idall Address <br />I'�C t" �� �C�. ( �/lL��.i �) <br />Stal[� License Number <br />1 <br />` � 7.. � <br />Proposed Use o1 Building <br />Description o( Work to Lia Done: � jC•��� � i- i c^ ��. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />�E IN RACEWAI'S, MC OR AC CABLE. <br />CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />Cily <br />� F '., ti <br />City <br />Slale2ip <br />SWIe/Zip <br />` "-a `/�(:; • �'� <br />SIat�2ip <br />Gontiact Price of WorY, <br />Contacl Person (Pian Review� <br />F[E <br />! hernby ceriify O�af 1 have read nnd exemined this ap��lication end kno�r fhe same to 6e frue and <br />correct. All provisions olla�vs and ordinances govemmg this fype o! work will be complefed <br />irhefher speciGed l�emin or noL The g�anting ol a permd Aoes nn! �resume fo gi�•e authonty fo <br />��iolate or cancel:ho provisions ol mry other state or lecal law mgulafing consVuciion or fhe <br />perfonnance ol cons6ucfion. Thaf 1 am aufhoiized Uy the owner o/ lhis propeAy fo pedomi fhe <br />work lor whicb applicufion is madc and 1 comp!}� with the Slate Contracfors Law 18.27 RCl1� and <br />296200 WAC. <br />�� i <br />Phone <br />Phonc <br />l/£�� <br />Phnn� <br />