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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 />, <br />��� �(,' � G � --� <br />v ��/<'�'r C• YJ!- ��tf <br />PROJECT ADDRESS `� <br />Owner <br />Tenant <br />�✓ p l� %�� � �� <br />Eleclrir,al Conlraclor <br />License NumUer <br />Proposed Usc o( Duilding <br />Mail Address <br />' 7 �,�' <br />ail Address <br />j L_ <br />Ci1y <br />City <br />`/Yr �� �,._ <br />Cily <br />Description of Work lo Be Done: ��/ i 1"� �'� ''� / v o n� � <br />NOTE: WIRING IN NON-DWELLINGS IS REdUIRED TO <br />BE IN RACEWAYS, tAC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily that 1 have �eaA <br />correct All provisions ol laws � <br />whether spea6ed herein or nof. <br />violate or cancel fhe provisions <br />pe�fonnanceolconsVuchon. T <br />�vak lor �vhich application is rn< <br />296.200 WAC. <br />StatelZip <br />State2ip <br />Slale2ip <br />Coniract Price oi VVork <br />Contact Person (Plan Review) <br />fhis applicafion and know fhe same to be true and <br />governutg fhis type ol work will be r.ornplefed <br />�/a pemut does nof presume to give aufhonty ro <br />�te or local law regulating consfruc6on or fhe <br />ized by fhe owner olthis property fo pedorm llie <br />1�� iaifh Iho .Sfala Cnnfracfnr.a l.atv 1R27 RCW 8fld <br />ii�/� �CJ <br />FEE <br />Phone <br />Phone <br />Phone <br />��15(�,�.��E' <br />