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�pr 14 06 03:02p travis bradford 360 657 1306 p.4 <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•everetiwa.org <br />APPLICATIONS ARE ACCEPTI=D FROM 8 AM TO 4 PM �—� �--D6 <br />��. �-1 ��,v�� �s � �-,n�-'r <br />PROJECT ADDRESS <br />Ownef <br />Tenanl <br />Gt,� � � �tx <br />Electrical Conlraclor <br />Mail Addro;s <br />Mail Address <br />MailAddmss <br />u�T,zfl c� SUi �v� <br />State Licenso Number <br />propos��'Us� Building <br />�escription af Work to De Done: <br />NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Clty <br />Gity <br />ciry <br />ca6o�f�iD3 <br />Slate/21p <br />Slnlc2ip <br />S�ale2lp <br />Conlracl Price o( Work <br />ConlactPerson (PlanReview) <br />CITY OF EVERC-TT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify fhat f have read and examined this applicalion and know !ho samo fo be true and <br />Correct. All provislons o7laws and orJinances govermng Uus fype ol �vork will Le completed <br />whether specifred heroln ornoL The gronting ol a perm�t Uaos not presume io give aufhority to <br />�dolnfe or cance! fhe provisions ot any ofher stafe or local la�v repu/aling ConstruCtion or fhe <br />poriormanco o(construction. Thaf 1 um aulhorized by lhe owner ol ihis properfy to peAorm the <br />work /or whjch opplica6on is made and 1 comply �vith the Stafe Coniracfors Law 18.27 RCW and <br />'r-� J � 63 <br />/ <br />Phone <br />Phonc <br />P�onc <br />FEE � <br />