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ELECTRIGAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 ' Iwww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />R� EC A DRE S U(' r L � N1r�I ( II�� <br />Owner <br />Mail Address <br />� — � <br />Mail Address <br />Conl�acto� i�� MailAddress <br />�'1�OhC�SI����-1��-� - <br />Stale License Number <br />Proposed Use of Bui!ding <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Cily <br />�f f <br />aty <br />�� <br />Slate2ip Phone <br />.IY �� <br />Phone <br />g���u%C7 <br />Contract Price of Work <br />Contact Person (Plan Review) <br />FEE <br />35•��, <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9705 <br />I hereby certi(y fhaf 1 have read and examined fhis applicafion and know fhe same fo be Irue and �(��p�'� —Cp\ <br />conecL A/l provisions o/laws and ordinance� ;7oveming fhis type oI woik will be.complefed <br />whefherspecilied herein ornof. Tho granfing oI a pemuf does nof �esume fo grve authonty ro <br />violafeorcancelfhe provisionsolanyofhersfafeorlocallawreguPalingconstrucfionorthe <br />peAamiance o/ consfrucfion. Thal 1 am aufhonzed by lhe owner o/ fhis property fo pedomi the <br />woik (or which application is made and I comply wifh Ihe Slafe Confractors La�v 18.27 RCW and <br />29G.200 WAC. <br />Cz�i���c�1 �i — <br />Phone � l � <br />