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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 � ��>>� i� —c,- �� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM lC _`(��,� <br />l� �� �;��;,�-� �- �v�z <br />PROJECT ADDRESS <br />��� '�},�v �� <br />Owner <br />fi � \�x <br />Mail Addross <br />Tenanl A1ail Address <br />i���'�� 1V' ��"1 ���.l..�V\C. � � �l <br />EleCtrical Conlraclor Mail Address <br />�M� �,-�SN �=�-'�''�` �� <br />State Ucense Number ' <br />Proposed Use of Buildinp <br />Descriplion o( Work to De Done: �,�-� �`� �- �� �_�-�-� `� � <br />�/ ' �� 7 <br />� L ��(1 <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />City <br />_� ��S'v1 �uz��'� I - �`�I$ <br />Stale2ip <br />Phone <br />Ci�y Sla�efZip Phone <br />. ��1��=,� z►=, �- �I � �� �- <br />Ciq• <br />State/Zip Phone <br />Contract Price ol 1NorF: <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily fhat 1 ha�e read and exnmined fhis application and kno«� the same to be frue and <br />cormct. All provisions o( la�vs and ordinances govemrng this fype of work wil! bo complefed <br />whefher spec��ed herein or noL The grantin� ol a pernut does nof presume fo gi��e authonty fo <br />violafe or cancel the provisions o( any other state or local /mr regu/afing construcfion or fhe <br />perlomiance o/ construcfion. Thaf 1 am aufhonzed b}� fhe o�rner o/ this property to peAomi fhe <br />work lor which applicalion is made and I compty �vifh the State Centracfors Lau� 1827 RCW and <br />296.200 N�AC. <br />yI iyI � :� <br />A <br />� <br />L ��;�� <br />;��,�-��v I J� <br />l/ <br />