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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEOAR STREET, cVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />) <br />��� �/�/� �si � <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />/�/ LJ"'.�� <br />Eleclrical Contractor <br />State License Number <br />Proposed Use of Building <br />� <br />Mail Address <br />Mail Address <br />Mail Address <br />��ry <br />City <br />City <br />.� <br />/,�%� %�O�lv <br />State2ip <br />State2ip <br />� <br />State/Zip <br />Phone <br />Phone <br />('�-o G�3o y <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Description ot Work to Be Done: <br />/t/'� � V "" 'Nc� �/2!//�� �L� "l!%/��` ��fC. �l�u 5 <br />o � f��:� . <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC GR AC CABLE. <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 fhis type o( work will be completed <br />r not The grarfing o/ a penn�t does not resume to give authonty fo <br />ions of any other sfate or local law reguPfing construcfion or the <br />n. That I am authorized by fhe owner o( fhis propeRy to perlorm fhe <br />i� made andlcompty wifh fhe State Contractors Law 18.27 RCW and <br />FEE <br />.FDSaS-OSZ <br />