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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 />./h o t ��� ��� A u E �,�-,��F �,- ��-�.�� � <br />� . <br />PROJECT ADDRESS <br />S—���� <br />���OS—�S ( <br />y25 <br />i �� li n' i l— �-e��7�- W'� '�Ib'LOl �—`%SG% <br />Owner Mail Address City Slale/Zip Phone <br />Tenant <br />s ���r,�.� a r� �- <br />Electrical Contractor <br />Mail Address <br />Mail Address <br />��uN.�E,��(3?2ia <br />State License Number <br />I�CStC%lfi��GC <br />Proposed Use of Building <br />Descriplion of Work lo Be Done: <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO <br />B[ IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />City <br />Slate/Zip <br />Sla�e/Zip <br />�65oa•aa <br />Contracl Price o( Work <br />Conlacl Person (Plan Review) <br />1 here6y certily fhat 1 have �ead and examined fhis npplicafion and know the smnc fo be Uue and <br />conecL All provisions o( laws and orA6ionces govenung this type o/ wo�k will be �ompletad <br />whether specdied herein or noL The granting ol a pernut does not p�esume lo give authonry fo <br />violate or cancel lhe �rovisions oI any ofher stafe or local law regulating construchon or the <br />performance ol cons�niclion. That 1 am aulhorized Gy fhe owner o/ this property to peAorrn the <br />work Ior which applicalion is made and I comply wifh fhe Sfate Confrac(ors Law 18.27 RCW and <br />29& 200 41�A C. <br />FEE <br />Phone <br />Phone <br />�� �� � �� <br />� <br />