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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 8 AM TO 4 PM <br />GoZ- fecP���� L_ ,9i/� <br />PROJECT ADDRESS <br />, Uzs � cs'9 r� <br />f� v�t�-c� 5�/ y�o v����e,�.-L ��/e �Jr-�� 9s� a z o � <br />Ownef Mail Address City Slate/Zip Phone <br />Tenant <br />Elecirical Contractor <br />State License Number <br />Proposed Use of <br />Mail Address <br />Mail Address <br />City <br />City <br />Description of Work to Be Done: -1��i(�L. �0�9( ��-�� c^""`-" <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 3105 <br />Slate/Zip <br />State/Zip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />(EE <br />I hereby ceRily that 1 have �ead and examined fhis application and know the same to be true and <br />correct All provisions o//aws and ordinances goveming this type o/ work will be completed <br />whether specified herein or noL The granting ol a permrt does not presume to give authority to <br />violateorcancellhe provisionso(anyotherstateorfocallawregulatingconsfructionorthe <br />perlormance of construction. That I am authonzed by fhe owner o/ this property to per/orm the <br />work lor which application is rnade and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />r� <br />� <br />C� <br />Phone <br />Phone <br />