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ELECTRICAL PERMIT APPLICATION <br />ClTY 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 8 AM TO 4 PM <br />��-�� ���Q �� ( <br />PROJECT ADDRESS <br />�7�iL- t1,� r)C--� �SPi�.� �l� �f�� <br />Owner <br />Tenant <br />Eleclrical Conlraclor <br />State License Number <br />�nfi�(zr'-1-C-� �� <br />Proposed Use o( Buildinc� <br />Descriplion of Work to Bc Done: <br />Mail Addross <br />Mail Address <br />Mail Address <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 />!'� �✓Q ���� <br />City State2ip <br />City State/Zip <br />City <br />State2ip <br />Contracl Price of Work <br />5szo l <br />Phone <br />Phona <br />Phone <br />Contacl Person (Plan Review) <br />FEE <br />y cenily that I have read and examined fhis application and know the same ro be true and <br />All provisions ollaws and ordinances goveming fhis type ol work will be completad �(j'� � �— 1�—\, <br />r speci�ed herein or noL The granting ol a permd does nof presume to give autbonty to <br />or can:el (he Qrovisions o/ any other sfate or local law regulating construction or the <br />iance of ons�ruction. That 1 am authonzed by the owner o/ this �roperty to pedomi Ihe <br />r why.h �pplif�!��s made and I comply with fhe State Contractors La.v 18.27 RCW and <br />� r/2�}/v <br />