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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDF.R STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�' �,� �,�y� CC��U� . <br />PROJECT ADDRESS <br />,�LI � ;� � �� � ; S 3 � �1�: �� � �;: . f, <br />Owner Mail Atldress City <br />Tenant <br />Electrical Conlraclor <br />State License Number <br />Proposed Use of Building <br />MailAddress <br />Mail Address <br />//1r'�, <br />Description o( Work to Be Done: �'V��l-� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 1'0 <br />BE IN RACEWAYS, MC OR AC CABLE. <br />City <br />City <br />� <br />�� C:�' - � i — � $ <br />- �si��-l7 � <br />/��J iy � <br />. „ � <br />, � �'� <br />�e wZT l. �: l�- �� <br />Slate/Zip Phone <br />SWte/Zip Phone <br />StatelZip <br />Contracl Price of Work <br />Contact Person (Plan Reviee�) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi(y Ihat I have read and examined this application and kno�v fhe same to Ge tru� and <br />conecL All provisions olla�vs and ordiiiances govemmc� this type o/ work �vill be completed <br />whefher spea/iLci herein or noL The granting of a perrnit does �tof presume to give authority to <br />violate or cancel��llie provisions I ny other sfafe or local /a�v regulafing construction or (he <br />performance o/ constiuchon. Th t 1 ani aidhorized by the owner o/ this property to perlorm the <br />work lor which app(iGation is ma n�l ( cornply with the Sfafe Conlroctors Law 18.27 RC W and <br />2961 00 WAC. � r � �, <br />\ �� ��" ?=�-�I ��, i L1 '- � ' 0 5 <br />. <br />FEE <br />Phone <br />