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ELECTRICAL PERMI"T APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAY. 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� j f� � � �� �G14��� �� � <br />� <br />PROJECT ADDRESS <br /><j�> <br />� <br />Owner <br />Tenant <br />�.<z., v �I'� I J/� ti�'/i'v I�S <br />Flectricol Contraclor <br />Stale License Number <br />t,1ai1 Address <br />A1all Address <br />Afail Addiess <br />���s�f/✓ �� �^r�; <br />City Slate.2ip <br />City Slate'Zip <br />City <br />StatdZip <br />Contracl Price of Work <br />7l-t� — <br />, <br />1�_ h�-�3i3) <br />Proposed Use o(Building Cnntacl Person (Plan Review) <br />Phone <br />Phone <br />Phore <br />NOTE: �VIRING IN NON-DWELLINGS IS RE�UIRED TO <br />bE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! hcrehy ceridy Ihaf 1 f�ave roa�� and examined this application and know the sarne to be true and <br />co�recl. All provisions o/laws and ordinances govarning fhis type ol u�ork will be complefed <br />�vhether speciGed herein or noL The granfing o/a perntd doe; nof resun;e to give authority fo <br />violale or cancel fhe provisions o/ any ofher sfate oi local law reguPfing cc.istrucfion or Ihe <br />pe�lormance ol construcfior. 1'haf 1 arn aufhoriz?d by the owner o! Ihrs property fo perlorm fhe <br />�aork lor which applicafion rs n•aAe and 1 comply with fhe State CoNractors Law 18.27 RCW and <br />296. Z00 WAC. <br />FEE <br />Fc7G�-G� <br />