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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 />��r� / q/ "1L <br />G- 7 �%h'-•/,��ir J(4.t Cc t-c [/ <br />PROJECT ADDRESS <br />� <br />Tenant <br />Eleclrical Contraclor <br />Slate Lic�nse Number <br />Proposed Use of Building <br />Afail Address <br />A1ail Address <br />I,tail Address <br />���Y <br />City <br />Cily <br />�� :�. <br />� 7t � ��. ��_-�i3 <br />State�Zip Phone <br />StatelZip Phone <br />Sfa�e/Zip <br />ConUact Price of Work <br />Contacl Person (Plan Review) <br />Description nf Work to Be Done: I%��s�S *� �/ Dc.� ���.�^7� 1� <br />NOTE: WIRiNG IN NON-DWELLINGS I� REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 he�eby certily that I have read and examined ffris application and hnow fhe same to be We and <br />correct. All provisions ollaws and o�dinances goveming fhis f}�pe o! work will be completed <br />n�hether specified herein or no�. The granfing of a perm.t does nof resume fo give aufhonty fo <br />violale or cancel fhe Provisions ol any ofher stale or focal law re�uPtin� constructio;i or fhe <br />peAomiance o(consf� uction. That 1 am aufhonzed b}� the o�vner oI this pioperiy to perfonn the <br />work lor which applicotion is made and 1 compty wifl� fhe State Confractors Law ]8.27 RCW and <br />29G.2G0 WAC. <br />' ��� <br />� <br />- �_ ,� l'��ti <br />� <br />FEE <br />Phone <br />E ��lc U`D — (�jC� <br />