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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 ACr,EPTED FROM 8 AM TO 4 PM <br /> ��'� � l..� �Zkti1 ��' y�S' <br /> PROJECT ADDRESS 3 SS <br /> ��� <br /> �;4rn r�k t=oj��� �'o �� w ��,�.�� i� �ti 9�.�0 3 �i/�'y <br /> Otvner Mail Address Cily StalelZip Phone <br /> Tenanl Mail Address Ciry State2ip !,�- Phone <br /> 7 <br /> �l f'iAI%)iE�t S ►� S �G�'i �(1 OQl/ /�(� l��.Le:/ �-`S9 -7/(/ <br /> Electrical Contraclor hlail Address Cily State2ip .Phone <br /> �YL.4 v Ss/ y 1 L� <br /> Stale License Number Conlract Price of Work <br /> � ��– <br /> Proposed Use of�uilding Conlact Person (Plan Review) <br /> Descriplion o(Wark lo Be Done: !`�� �r�f/� �fj0 /�I�t� ��J}�/� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ["� v s' <br /> ✓ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily that I have read and examined fhis application and know fhe same to be frue and <br /> correr.L All provisions olla�vs and ordinances govemmg fhrs q�pe olwork will6e completed �O�'C7�%'�O�' <br /> �vhefher specilied herein or noL The granfing of a pemuf dues not resmne fo give aufhority to <br /> viol��lr, or r,ancel the provisions o(any other sfafe or bcal law reguPting consfruction or the <br /> perfonnance o/construction. Thaf I am aulhonzed by Ihe owner o�(Ins property to peAonn fhe <br /> �vork(or which application is made and 1 comply�vifh fhe Sfate Contractors La�v 18.27 RCW and <br /> 29G.200 WAC. , / — <br /> / r �l' <br /> ,--L-�� ? <br /> ,������,� �� � ����/ �G <br />