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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�.5 � � ��Q ! l'L !.�' � �U�- i �Cr;P � �� �- <br />PROJ CT ADDRESS <br />/�{-�� l �:-, j� -�� � (�� �, ) � s y-s� c��z <br />Owne� MailAddress City SWteZp Phona <br />Tenant Mail Address <br />f t�r,� �,/ C; Lsc r�, � <br />City <br />l.�fi�' S �if �i�.� , i� l� %i� <br />Elecfical Contracto� Mail Address C <br />n����u���- r�N������ � owP�e`� y�'� �s <br />Stat License Number <br />Proposed Use of Buiiding <br />Description of Work to Be Done: !.� lc� ( ( Y C �/ i-�� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN R4CEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily that I hove read and examined this applic <br />correct. All provisions o/laws and ordinances goveming <br />whether specified herein or not. The granting o/ a permrt <br />violate or cancel the provisions ol any other state or local <br />wo�k%awh�ch aC� lic�ation s made aad 1 com� IZ withytheE <br />296.200 WAC. pp ) � p y <br />-_'/ ! C��L <br />Stale2ip Phone <br />',J/� 1�'.� 7 I <br />StateZp Phone <br />Contract Price of Work <br />Contact Person (Plan Review) <br />v and know the same to 6e true and <br />rype ol work will be completed <br />�s not presume to give aufhonry to <br />� regulaling construction ar the <br />ner o( this property to peAorm the <br />e Contrectors Law 18.27 RCW and <br />n � l ��// � �� <br />EoSo� -G6l <br />FEE <br />