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ELECTRICAL PERMIT APPLICATIO►N <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 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SG3n .�ec�,� �c. <br />EriE/1ci%, �!¢ <br />PRaJECT ADDRESS <br />,�AR �o cv-� <br />Owner <br />Tenant <br />Electrical Contractor <br />Slate License Number <br />9k�o3 <br />SG3o <br />Mail Address <br />Mail Address <br />_� <br />Mail Address <br />LL!/���///G'L_ <br />Proposed Use of Building <br />�wE�c �°�J ���n�i i <br />Ciry <br />City <br />Cily <br />Description of Work lo Be Done: ���!r �«G!�r �/S��EG <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />wOr�l L �� �,� S�aGfG6�ly <br />9�'�.3 �y s/ s-s-&�oE <br />Slate2ip <br />Slate/Zip <br />State2ip <br />Contract Price of Wock <br />Contact Person (Plan Review) <br />y certi(y lhat I have read and examined this application and know the same to 6e true and <br />. Al/ provisions ol /aws and ordinances governing fhis type o( work will be completed <br />r spealied herein or nof. The grenting ol a permit does notp resume to give authority to <br />or cancef the provisions o/ any other state or local law regulating construction or the <br />�ance oI construction. That I am authorized 6y the owner o/ thic propeRy to pe�/orm the <br />r which application is made and I comply with the State Contraciors Law 18.27 RCW and <br />7//�(/0 <br />FEE <br />�G�fG� -(75� <br />Phone <br />Phone <br />Phone <br />