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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT '�ERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />�'1 �� I��I � �1�I�C �- <br />PROJECT ADDR S <br />Tenant <br />M�il Address <br />Mall Address <br />Contraclor Mall Address <br />l 11 �•L� I� D 2►A <br />State License Number <br />k; �, � �,�o \ <br />Proposed Use of Building <br />Description of Work lo Be Done: <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 />Gty <br />City <br />City <br />�-�A <br />Slate/Zip <br />Stata/Zip <br />StalefZip <br />io iU-ll <br />Cti�o-o75 <br />d7b� � <br />Contract Prfce of Work <br />Contad Person (Plan Review) <br />1 hereby certily that I have read and exemined this application and know the same to be frue and <br />conect. All prov(slons of laws and ordlnances goveming thls type oI work �v�,'1 be completed <br />whefher specified herein or nof. The granting o/e permd does nof presume to glve aufh�rJry to <br />violate or cencel the proNsions o/any other sfate or local law regulatlng conshucNon or the <br />per/ortnance of constructlon. That 1 an aufhorized 6y the owner of thls property to per/ortn the <br />worlr !or which applicafion !s made and 1 comply with fhe Stafe Contrectors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />� <br />Phore <br />Phone <br />Phone <br />��� � - �7� <br />