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ELEGTRICAL PERMIT APPLICATION <br />CiTY OF FVERETT PERMIT �ERVICES <br />3200 CEDAR STREET, EVERE7T, WA 98201 <br />425-257-8E10 - FAX 425-257-8857 — �vww.everettwa.crg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE hOT ACCEPTED <br />aaa� i��� <br />PROJECT ADDRE <br />Tenant <br />Eleclrical Contraclor <br />State License Num6er <br />C'�R'a s�,� , <br />?roposed e of Building <br />U e >J E/2, �- c <br />Ma Ad ress <br />Mail Address <br />Mail AAdress <br />Description of Work lo Be Done: /YOU�- - <br />NOTE: WIRING IN NON-�WELLINGS IS REQUIRED TO <br />8E IN RACEWAYS, MC OR AC CABLE. <br />City <br />Ciry <br />City <br />S�ate.�Zip <br />State/Zip <br />SWte/Zip <br />Contract Pnce of Work <br />Contact Person (Plan Review) <br />� ���C-�/ �l <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />i hereby certi7y that! have read and examined this application and know the same tn be true and <br />c^rrect. All provisions o/laws anAordinances governmg this type of �verk wdl be completed <br />�,vhe(her specJ�ed herein cr not The grantin9 or a perr,ut does not presume to give authonry ro <br />�,�;da(e ar cancel the provisrons o(any o�her state er local la�v regulating construction ur the <br />periormance ol consrruction. That 1 am aufhomed by the owner o( this property to peAorm the <br />�vc:k Ior which applicaticn is made and 1 comply wdh (he State Cantractors Law 18.2i RCW and <br />�9ti200 WAC. <br />:, <br />FEE <br />Phone <br />?hone <br />Phone <br />� � � L1 <br />�/,,,1 - , �`, �� <br />p <br />