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ELECTRIGAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �_a s_a� <br />3200 CEDAR STREET, EVERETi, WA 98201 <br />425-257-Y810 - FAX 425-257-8857 — www.evereltwa.org ��a8—� �� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />8�� SC� � v��f i,`l�CG �i��j/' <br />PROJECT ADDitESS <br />� g�7 <br />Ownef Mail Address Cily Slale!Zip Phone <br />�"1 /� ft�t2CEll��i4l�CT y��Q�2 8� G �= �� �i9� %8'Z08� °S�'`� <br />Tenanl Mail Address City State2ip Phonc <br />Eleclrical Conlraclor Mail Address <br />!1�'�� �l � l0 l �� <br />State License Number <br />Proposed Use of Building <br />C <br />City <br />��T �8�� <br />Slale2ip Phone <br />Cont�fPric�of Wor� <br />Contact Person (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC ORAC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi(y that 1 havo read and examined fhis applicafion and know fhe same to be We and <br />correct. Flll provisions ollaws and ordinances goveming Biis type of work will be compfeted <br />whefher specified herein or not. The granting o(a permit does not presume fo give authority fo <br />violafeorcancelthe provisionso(anyofltersfafeorlocallawregulafingconstrucfionorthe <br />peNormance ot construction. fhat 1 am aafhonzed by fhe owner o� this properfy fo pedom� the <br />work lor whicMapplicafion is ruade and Isomplv with fhe State Contrac(ors Law 18.27 RCW and <br />$(GtS`�/ O <br />FEFj� <br />, <br />��. g� <br />����-t�7 <br />