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� <br />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.or� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�-1 I i � G�'riN �? R�%� <br />PROJECT ADDRESS <br />NzS <br />�5 L <br />J�,K,.; �-�C,o�2so�-l�9 tS�.b Ruu�r'_ A-� (� tl in-`/i `�8�, o� so <br />Owner Mail AdCress Ciry State/Zip Phone <br />l%`}C/�s�1,— <br />Tenant <br />C��f�= <br />Eleclrical Contractor <br />State License Number <br />Mail Address <br />Mail Address <br />City <br />Ciry <br />�jn.'GL" F��� ��tS�Oe."r�'� <br />Proposed Use a( Building <br />Descnplian of Work to 8e Done: ���v'r`�- ��y�����1 <br />NOTE: �NIRING IN NON-DWELLINGS IS REQUIRED TO <br />8E IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Slate/Zip <br />StateiZip <br />Contracl Price of Work <br />pWNE-f� <br />Contact Person (Plan Review) <br />1 hereby certily that I have read and examined this application and know the same to be true and <br />conect. All provisions ol/aws and ordinances goveming this type o/ �vork �vill 6e completed <br />whether specilied herein or noL The granting o( a pemut does not presume fo give authority to <br />violate or cancel the provisions oI any other stafe or loca/ law regulafing ccnstruc6on or the <br />peAo�mance ol construct�on. That 1 am aulhonzed by the owner of fhis property to perlorm the <br />work lor which application is made and I comply with the Sfate Contractors Law 18.27 RCW and <br />� ' L — O <br />FEE <br />/ —.-� ' — <br />Phone <br />Phone <br />