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F � <br />�LECTRICAL PERMIT ,�PpLICATION <br />CITY OF EVERETT PERMIT SEQVICES <br />3200CEDAR STREET EV�RETf W <br />A9820i ����d—�y <br />425-257-8810 - FAX 425-257-8857 – www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />'�1 o�q ►ao V T�_ <br />PROJECT ADDf2ESS <br />Owner <br />Tenan� <br />Elechical Confraclor <br />_��-ASS �� 153 IZU <br />State License Number <br />��A 1 �Pi.tsr. <br />Proposed Use of Building <br />Description of Work to Be Done: <br />�O� ! <br />Mail Atldress <br />Mail Address <br />(•�� � <br />M11ail Address <br />W <br />City <br />City <br />�f� �V�!'Q <br />City <br />0 <br />Eo9ll--li� <br />99ao� y�'as�- <br />Stale2ip Phonc <br />State/Zip <br />Slate/Zip <br />Phone <br />�/as -33q-�i l <br />Phone <br />� �l0 t� � <br />Conlract Price of Work <br />Conlacl Person (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERE iT LOCAL SALES TAX CODE IS 3105 <br />I hereby cedily thaf I have read and exemined this applicafion and know lhe same fo be (rue and ��/L�� (— J I� <br />conecl. All provisions o//aws and ordinances c�ovemmg fhis type o/ work will be completed <br />whether specilied herein or noL The �ranting o( a pennd does nof presume (o �ive au(hority to <br />violafe or cancel the provisions o(any other sfata or local law regulaling consfruc(ion or fhe <br />Po�k o,r�wh ch a�plictalio��'s n a�de and�l wt nplyedt� fh'e Stafe Contractor�PLa�v 18.27�RCW'and <br />29G.200 WAC. <br />