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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 />� 5 nL�,-�;� ���.n <br />PROJECT ADDRESS <br />Tenant <br />Mail <br />Mail l+Adress <br />Conlractor 1�1ai1 Address <br />1�� J� �S c� !� 3� V� _ <br />Stale License Number <br />_n�/ <br />-1 l�i� ,'�"��NC L� <br />Proposed Use of Building <br />Description ol Work lo De Done: <br />C�ry <br />Ciiy <br />Ci�y <br />Stale/Zip <br />SlatelZip <br />StatelZip <br />� �5� °2 <br />ConUacl Price o( Work <br />Conlact Person (Plan Review) <br />�.;( \t t,p �-� ��,5 ��c �,`� ��_��CJ Cl1ti l,, ��.-�-� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cr.riity thal 1 have reaA and exantined fhis applicafion anA know the same to 6e We anA <br />correc(. AIf provisions ollaivs and ordinances governmg fhis type o/ �rork will Ge complefed <br />whelher speci6ed herein or noL The g.�anfing ol a pernul does not piesume to give authonty fo <br />vio/ate or cancel fhe �rovisions ol any ofher sfate or local la�v regu/ating conshuction or fhe <br />perlurmance o/ cons��ucfion. Thaf ! ant authorized b}� fhe avner o( fhis properiy fo peifomt the <br />work lor which applicafion is made and 1 cornply aifh fhe State Confracfors 1_aw 78.27 RCW and <br />296.200 WAC. <br />FEE <br />Phone <br />Phone <br />Phonc <br />���j`! �--C:.� � <br />