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ELECTRI�AL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —w�w.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�a� � <br />PROJECT ADDRESS <br />D�GI,//.1� %��di .�n� , <br />Owne� _ Mail Address <br />Tenant <br />City <br />Mail Address City <br />'-�/ Ll � � �'� �� /�U <br />Electrical Contractor Mail Address <br />/� P L� / � /��` "/ � l F�. %� <br />State License Number <br />C�zsi�� <br />Proposed Use of Building <br />Description af Work to Be Done: ��-��TiJ G LA / i L <br />(/l7��D /1C�✓�ID �`�C�O✓vL <br />NOTE: WIRING I� NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC ORAC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />F,��uo.�i✓�,� <br />State2ip <br />Stale/Zip <br />�/V / ° //C-D <br />State2ip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />certiiy thaf I have read and examined this application snd know the same to be true and <br />All� rovisions of /aws and ordinances governing this rype o( work will be completed <br />�ec+,fied herein or nct. The granting of a perm�t does not presume to give authonty to <br />cancel the provisions of any other state or /ocal /aw regu/ating construction or the <br />nce cf consfruction. That / am authorized by the owner of this proparty to pedorm the <br />Nhich application is made and 1 comp/y with the State Contracrors Law 18.27 RCW and <br />WAC: <br />L!�Gf'" _ / <br />FEE <br />EO`ic�''d51� <br />Phone <br />Phone <br />Phone <br />pa,2� �e,cTTj� <br />