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t <br />ELECTRICAL PERMIT �4PPLICATION <br />CITY OF EVERETT PERMIT ' ' '� 'CES <br />3200 CEDRR STREET, EVERETT, 01 y� a 6 /D <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />Cl oo U_o�/> <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� (� U� _S r f' .�� �,`Ffi rn w�(1 �,J i� `� s �, �{� �-t St� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Elecirical CoMraclor <br />Mail Address <br />S', (� <br />Mail Address <br />P ; ��.r <br />Mail Address <br />�;Y �:.v 1 �i � 1 u�„) <br />State License Number <br />� <br />I Lr•nS���rL l��"S , rM <br />Proposed Use o( Building <br />Doscription of Work to Be Done: <br />Cily <br />Cily <br />Cily <br />Slale/Zip <br />State/Zip <br />Sla�e/Zip <br />Phone <br />�1z:� -zsz-3��3 <br />Phone <br />YZ3 <br />Phone <br />1�z.5� 5� <br />Contracl Price o Work . <br />Contacl Person (Plan Review) <br />l <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CI7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily tl�at 1 have read and exemined fhis app/icalion and knoiv the same to be true and � 1�' '�� <br />correct. All provisions ol larvs and ordinances goveming this fype o! work will be comp/eled l.� <br />�vhether specified herein ornot The granfing o/a pennd does not �resume to give authoriry fo <br />violafe or cancel the provisions of any otRer slate or local law re�ulating construclion or the <br />9o�k lo,avhl ch appl,cation�'s ma'de araid�l comply�i�fl� fhe Stafe ContractorspLoiv 18.27 RCW a/ id <br />9oR 9nn u�nr <br />\ <br />/ �� �_ <br />�LJ <br />