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� <br />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 ACCEPTED FROM 3 AM TO 4 PM <br />�L��)% 1�i?�,�,, a -� / � • , � <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />a o� � ,� <br />Mail A� <br />.� <br />�/ <br />Mail Address <br />� � . <br />tiectncai contrac�or Mail Address <br />'.� �� ,��� �I�? �!"�� � -i �"� .� i l- � � <br />Siale�LiEense Number <br />� <br />�.. , i <br />Propo ed Use of Building <br />Descriplion of Work to 6e Done: <br />�� . <br />.� <br />Ciry <br />City <br />�����% �lf�7L �lv <br />Stale2ip Phone <br />State2ip Phone <br />Stale2ip <br />Contract Price o( Worl; <br />ConlactPerson (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETr LOCAL SALES TAX CODE IS 3105 <br />1liereby certily that 1 have read and exdmined this application and kno�v fhe sante to 6e truo and <br />correct. All provisions ollaws and ordinances govemmg fhis type o7 �rork will6e completed <br />whefher spealied herein or noL The granting ol a pennd does nof resume to gi,�e authontp fo <br />vio/afe or cancel the provisions o/ �3ny ofher state or local faw reguPting conshucdon or the <br />perlormance o( consfrucfion. That 1 arn authorized by the o�rner ol lhis property to per/onn the <br />work lor which applicafion is made and 1 compty with fhe Stafe Confractors La�v 11J.27 RCW and <br />,�EE <br />% � l� , i ; ii� <br />C(i3O\���y <br />�,� � �, i-�.��� T� �..�, � 6 / :� �' � <br />Vigialure te � <br />Phone <br />