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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 — tvv vv.evereltvva.or9 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />lr,r, <br />&--evtP-p r <br />Owner <br />Mail Address <br />City <br />Statelzip <br />Phone <br />Tenant <br />Mail Address <br />City <br />Stale/Zip <br />Phone <br />Ele . ncal contractor <br />Mail Address <br />City <br />State/Zip <br />Phone <br />State License Number <br />Proposed Use of Building <br />52 �srz <br />Square Footage (It residential new construction, remodel or addition) <br />Description <br />of Work to Be Done; <br />icJ t7 G .,rF t! OZ � vu P d� rr'P r-S <br />Contract Price of Work <br />*�y<< 77' <br />Contact Person (Plan Review) <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 _ <br />I hereby certify that 1 have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances goveming this type of work will be completed <br />whether specified herein or not. The granting of a permit does not resume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance . construction. That I am authorized by thecorai. ��nrtlar c�nrrsspLaw 18 27 RCWlaed <br />