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f <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERYICES <br />3200 CEDAR STREET, EVERETi, WA 98201 <br />425-257-8a10 - FAX 425-257-8857 — www.everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />l�lrbZ SC �ve.re.��l� ltik�atr <br />PROJECT ADDRESS <br />A� <br />Owner <br />Tenanl <br />Mail Address <br />Mail Address <br />CoNfacfor MailAddress <br />�7 hr� rn ��gsc�� <br />State License Number <br />r bocl `ex��e�S <br />Proposed Use of Building <br />Descriplion of Work to Be 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 5105 <br />I hereby cerli(y fhat 1 have read <br />corract. All provisions allaws s <br />whether spec�ed heiein or not. <br />violate or cancel fhe provisions <br />performanceo/construcfion. T <br />work for which applicaGon is me <br />296.200 WAC. lI <br />City <br />Cily <br />Cily <br />��i9�o� <br />� o�o� IoZ <br />Stale2ip Phone <br />l �iZS �l <br />�a�p Phone <br />Statel2ip Phone <br />t J / ��' Y/�F/ <br />Contract Price of Work <br />��'C b �G� 2C�I R FVIO.Y^ <br />Contact Person (Pla eview) <br />Ihis applicafion and know Ihe same to be frue and <br />goveming this type ol work will be compfefed <br />�l a permil does not presume to give authonty to <br />rte orlocal law regulating construcfion or fhe <br />ized by th� owner o(this property fo peAorm the <br />'v with fhe State Contractors Law 18.27 RCW and <br />� <br />FEE <br />C�BUZ•(OZ <br />