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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 />A <br />t-T'�tf <br />IJUI yt <br />PROJECT ADDRESS <br />iro4 , a E',� <br />9HI() 4ay_�;svn E•, e,,. t{ 4A g82o; 35� �oay <br />Owner <br />Mail Address City State/Zip Phone <br />Tenant <br />Mall Address City Stale/Zip Phone <br />-t-pl/1�1Q. Ei..l7l�Qr� <br />Electrical Contractor <br />Mail Address City Slate¢ip Phone <br />Stale License Number <br />Contract Pr.oe of Work <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />1=.!:IN RACEWAYS, k1C OR AG CABLE <br />i <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />read and examined this application and know the same to be true and <br />iws and ordinances governing this type of work will be completed E atx p <br />r not. The granting of a permit does not presume to give authority to <br />ons of any other state or local law regulating construction or the <br />n. That I am authorized by the owner of this property to perform the <br />is made and I comply with the State Contractors Law 18.27 RCW and <br />31710b <br />