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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FFX 425-257-8857 — www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3 I .� � � ���� �. � <br />PROJECT ADDRESS <br />,��� � � <br />owner j �� <br />Tenanl <br />Mail Address <br />Mall Address <br />City <br />Cily <br />�$/� l� ( F<�,��'C�.c .)�C-�� ���:K-=� I 17 L-�r'� u v, �c�tl' <br />Eieclrical Contrector Mail Address Ciry <br />i <br />D �=����t'`I�c��h� �� ?` ������ <br />Slale L� nse Number � <br />Proposed Use of Building <br />Descnplion of Work l0 6o Done: <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERE'(T LOCAL SALES TAX CODE IS 3105 <br />ceRily <br />All pr <br />.� <br />� <br />z�r <br />State/Zip <br />State/Zip <br />\0. � � �I <br />Slate/Zip <br />�\�` <br />��v: �_ <br />Contract Price o! Work <br />Contact Person (Plan Review) <br />that I have read and exemined this applicafion t+nd kno�r the same to be truo end <br />ovisions o/ la�vs and ordinances govemmg fhis type of u�ork will be camplefed <br />ed herein or not The granfiny o/ a pertnd does nof presume fo �ive authonty fo <br />el fhe provisions o(any other stafe or local law regult�fing consfruction or fhe <br />� consfniction. That 1 arn authonzed by the o�rner ol this property fo perfonn the <br />applicafion is made and 1 cornpp� �vith the State Contracfors Law 18.27 RC11� and <br />FEE <br />Phone <br />Phune <br />Phone <br />��'�'c � <br />1���-; �, 7 <br />