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ELECTRICAL PERMIT APPLICATION <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 <br />2fO„�V N��i � l� G�"l,/_�M �/�(".a �_ UC��v� V" � f/ <br />PROJECT ADDRESS <br />Z 30 <br />Owner <br />State/Zip <br />Phone <br />C _/!;'c', -� - _ ---- - - ------ - 5l�LSY a�c <br />--�-'�_ <br />Tenanl Mnil Address City StalelZip Phone <br />4i� fi/rl��L �G-��.L°/ � <br />Conlractor Mail Address <br />, „ 1 t'� �z 3 �� <br />tate License umber <br />'�i(�r- <br />roposed Use of Building <br />Description ut Work to Be Done: <br />i <br />1 <br />NOTE� WIRING IN NON-DWELLINGS IS REQUIRED TG <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Cily <br />3(� �7 ��2 <br />Phone <br />CunVact Frice o{ VJork <br />Conlact Person (Plan Review) <br />y certily that 1 have read and examined fhis application and know Ihe same to be true and <br />All pmvisions ol fa�vs and ordinances goveming fhis type ol work viill be complefed <br />r cpecilied herein or not The �ranling o( a pernut does not resume to give aufhonty fo <br />or cancel fhe p�ovisions o/ any other stafe or local law reguPting construchon or the <br />iance o/conslrucfion. Thaf 1 arn authorized by Ihe owner o/fhis propeRy fo perfonn the <br />r which application is made and I comply with fhe Stafe Confracfors Law 18.27 RCW and <br />I�� <br />FEE <br />')' OQi <br />,�5 . ., <br />r��c�us i3� <br />