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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 />3231 G��� �1,� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Conlraclor <br />Stale License Numbcr <br />�F 12. <br />Proposed Use o( Building <br />Description ot Work l0 6o Done: <br />I�(_%�) q�' <br />R1ail Address <br />Mail Addross <br />Mail Address <br />Ciry <br />City <br />Cily <br />State/Zip <br />Sta�e/Zip <br />StalelZip <br />Contract Price o( Work <br />Phone <br />Phonc <br />Phone <br />��K M�T� � `t2S� ��(XJ� <br />Contacl Person (Plan Review) <br />'. .�.i►s : ��� rr1 �J <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TU <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITI' OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby� certi(y thaf I have read and exnrnined fhis applicalion and kno�v fhe same fo Ue frue and <br />correct. All provisrons ollaa�s nnd o�dinances goveming this type oI �rork wiP be complefed <br />whefher specif�ed herein or not The granfin� o( a pemut does not prasumo to give authonty to <br />violafe or cancel the provisions o! any ofher sfafe or locn! In�v regu/afing construchon or the <br />performance of consfruchon. Thaf 1 am authorized b}� the o�rner o/ this property to peAonn fhe <br />work Ior �rhich application is rnade and 1 compl}• rrifh the Sfnte Cenfracfnrs Laiv 18.27 RCW anA <br />nnr. onn U/n!` <br />FEE <br />�''1�s ��{ � <br />