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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �, _�i -�S <br />3200 CEDAR STREET, EVERETT, WA 98201 y/ <br />425-257-8810 - FAX 425-257-8857 — www.evereltwa.org �� S�� g`U "f <br />/ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - D[BIT & CREDIT CARDS ARE NOT ACCEPTED <br />�� 9 �/ /�,</ ��, ;�,�f' i�r�. <br />PROJECT ADDRESS `� <br />t�cl 1 <br />Owner <br />Tenant <br />Eleclricai Contractor <br />Stale License Number <br />Propased Use of Buildinc� <br />/_''�^, �K� �r� S �'.� <br />Mail A ress <br />Mail Address <br />i <br />l�l �.L�fc. L�7 <br />Mail Address <br />Description of Work lo Be Done: !� /✓� Y /'t�'f V✓ <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 />I hereby certily Ihat 1 have read and exnmined Ihis applic <br />corcecL All provisions o/ la�vs and ordinances govermna <br />whefher speaGed herein or noL The nranfinn oI a oennd <br />City <br />Ciry <br />Ci�y <br />StalclZip <br />Slate/Zip <br />State/Zip <br />Contract Price of Work <br />Contacl Person (Plan Roview) <br />..� /1� Y� <br />and kno�v fhe same fo Ge fn�e and <br />ype o/ work �vill be completed <br />nol resume fo give aulhonty fo <br />�eguPting construcfion orthe <br />er oI tbis property fo perform (he <br />Confracfors Law 18.27 RCW and <br />� <br />� �/i �U /� <br />FEE <br />� � �c,- 7 �� <br />Phono <br />Phona <br />Phone <br />