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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERET'� 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 />�'/ 41 l� )' ( dlnn 1�x.- <br />PROJECTADDRESS <br />� l{ il<- <br />Tenant <br />� <br />►z <br />Electrical <br />; �-s���., y� , � F�J�K,� �� � v �, � <br />Mail Address Ciry <br />Mail Address Cily <br />Vf-}�l-Fifi�IN1N/� <br />Stale License Number <br />IS( � � �tG <br />Propased Use of 8uilding <br />Descriplion of Work to Be Done: <br />Mail Address <br />� <br />City <br />< <br />�- 92s2o <br />State/Zip <br />���5' �b1— 02c <br />Phone <br />StalelZip Phone <br />4 zs - yo, - <br />L�h'� 9Kta3 ossz <br />Stale/Zip <br />� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />NOTE: WIRING IIJ NON-DWELLINGS IS RE�UIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi/}•lhat / have read and examined this application and know the same to be true and <br />correct. All provisions o/laws and ordinances governing this type ol work will be comp/eted <br />whether specified herein or noL The granting of a permd does not presume to give authonty ta <br />violate or cancel the provisions o(any other s!ate or local law regu/ating construchon or the <br />oeAormance of construclion. That ! am authorized by the owner ol this property to pedom ihe <br />viork Ior which application is made and 1 comp!y with the State Contractors Law 18.27 RCW and <br />0 <br />9/�i/,.c <br />Phone <br />m <br />x <br />