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ELECTRICAL PERMIT APPLICATIf�N <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 /> ' ; �/Z 6��2c�� c ���v �� C (�7/O —o `I-3 <br /> PROJECT ADDf2ESS <br /> SCai7 J J� �- ('4SJ�+� ��/L dAR4 nl c 3U-) L,' �2verc�r �•4 <br /> Owner Mail Address Cily State/Zip Phone <br /> Tenant M1tail Atldiess Cily Slate2ip Phone <br /> Eleclrical Conlraclor Mail Address City State2ip Phone <br /> Stale License Number Conlracl Price of Work <br /> Proposed Use o(Building Contacl Person (Plan Review) <br /> � / 7 /9/ <br /> Description ol Work to Be Done: � �1 ��-'��' �?C�C�1������7n��t�X i <br /> i <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 certily fhaf I huve read and examined this applicafion and knon�fhe same to be We and <br /> correcL All provisions o/laws and ordinances governmg fhis lype o(�rork will be complefed <br /> whefhcr specdied herein or not. The granfing o/a pemuf does not �resume to give aufhonty fo <br /> viola(e or cancel fhe provisions o(any ofher state or local la�v regulating consWcfiai or the <br /> peAormance o/consfrucGon. Tlrat 1 am authorized by fhe o�vner o/this properiy fo perlorm fhe <br /> work(or which applicafion is rnade and I comply wilh fhe State Contracfors Law 18.27 RCW and <br /> zss.z� r �,1� ���� <br /> � �_ _ � <br /> �. i�����oh' <br /> SignaWrc ate <br />