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r� <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREI7, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�7i�,l��f i�tc�2_�"� <br />PROJECT ADDRESS <br />Ovmer <br />Tenanl <br />Mail Address <br />Mail Address <br />Address <br />State License Number <br />!7'�I�'L� - <br />Proposed Use of Building <br />City <br />City <br />� <br />Ciry <br />Description of Work to Be Done: /�G w ����� <br />y .-� g..�2 <br />C�iZd�(-09j <br />��' 3 <br />� �[//� !'ZS"112 <br />State/Zip PM1� <br />Slale2ip <br />StatelZip <br />� � <br />� O� <br />Contrac Price ot Work <br />�vJ � <br />�9 Z d <br />Contact Pereon (Plan Review) <br />Phone <br />NOTE: WIRING IN NON-DWELLIPJGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. /OQ� <br />� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify thaf I have read and examined Ihis applicafion and know fhe same to be tme and � I�� J�� <br />correcf. All provisions ollaws and ordinances goveming this type ol work will be completed <br />whether specified herein or not The granfing o(a permR does nof presume to give euthonty to <br />violate or cancel the provisions ol any olher state or local law regulahngpconstruction or the <br />performance o/ co �1 c�aiior��is n,ade and lacotniply wif�iytli�e State Cont a�ctosPLaW 18 27 RCW and <br />work (or which app <br />296.200 WAC. � n <br />!r"f f 2 <br />