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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 – wuvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />,�1a9 rl���« . ,�� _ <br />PROJECT ADDRESS <br />.�l�e.���.�%f L.0 l(��/6� ii/� �L� FSs� .SG���cr�-� wc,a- 9��:s� ao6�fr3� <br />Owner Mail Address City Slate/Zip Phone <br />Tenant <br />Mail Address <br />Contractor Mail Address <br />�avtn c e le � ci'C�G. G2 <br />State License Number <br />� �� <br />Proposed Use of Building <br />Descriplion ot Work lo 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 3105 <br />I hereby oerti/y th�t 1 have read <br />conect All provis�ons ollaws < <br />whether speci6ed herein or nof. <br />violafe or cancel fhe �rovisions <br />perlormanceo/construction. T <br />work /or which application is r� <br />296.200 WAC. // <br />Ciry <br />City <br />C✓�9 <br />SWle/Zip <br />State/Zip <br />`���� <br />Contrect Price of Work <br />G(/� %%le�G� �r—� Q <br />Contact Person (Plan Review) <br />this applicafion and know the same to be frue and <br />govemmg this type o/ work K^II be cnmpleted <br />�I a pernut does not presume to give avthonty to <br />3fe or local law regulafing consfruction or fhe <br />iz2d by tlie owner o/ this property to perfomt the <br />Iv with the State Contractors Law 18.27 RCW and <br />FEE <br />� V ' (� �d � � <br />Phone <br />Phone <br />