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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �� '�� ``' G <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org � 0 E/ D'� �^% <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />,' �}'� S� �9 I � / C � <} ✓l= _ <br />PROJECT ADDRESS <br />C J�-�,s � I <br />Owner <br />Tenanl <br />U �� <br />Eleclrical Conlrector <br />Stale License Number <br />Proposed Use of Buildinc� <br />�5�°- <br />Mail Address <br />Mail Address <br />Mail Address <br />� 5 %, .�SA y ✓n J-� <br />Cily <br />City <br />Ciry <br />Slate/Zip <br />State/Zip <br />Stale/Zip <br />�0�,-3�7-07 <br />� Z7 <br />Phone <br />Contract Prica oi Work <br />Conlact Person (Plan Review) <br />Phone <br />Phone <br />�escriplion of Work to De Done: ��l L l`R C v i S _ <br />NOTE: WIRING IN NO�-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 here6y cer,ily fhat 1 have read and examined this application and know fhe samo to bo true and <br />correct. All provis�ons ollarvs and ordinances go��enunc� this fype of work will be completed <br />whether speaficd hciein or not. The granfing of n pernuf does not resumo fo give aufhonry to <br />viola(e or cancel ihe provisions ol any o(her sfafe or local law rec�uPting construction or the <br />perlormance olLCnsfniction. That 1 arn aufhorized by the o�vner o/ fliis property to peAonn the <br />work lur tvhfch app4celion is made and I con�pl}� with fhe Sfate Confracfors Latv ]8.27 RCW and <br />296.2U0 VVAC. l <br />(� , / / � - ���� - <br />c�� � �, z�,� �, <br />FEE <br />E (,�, l V � C�. �� <br />