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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.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/��3� l� rr���� r� r3��a <br />PROJECT ADDRESS <br />—� <br />Owner <br />Tenant <br />�Ir.IN�.( <br />Electrical Conlraclor <br />State License Number <br />Pro�sed Use of Building <br />Mail Address <br />Mail Address <br />Mail Address <br />Gty <br />City <br />Cl�y <br />State2lp <br />Stale/Zip <br />Slata/Zip <br />Zo�3YG -�9Y5 <br />Contract Price oi N'ork <br />Conlact Person (Plan Review) <br />Description ot Wark to Bo Dane: l/�I ( it�� � fzU� �1� 471 I(o�.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 certily Uiaf I liavo read and exemined fhis applicafion end know fhe same to be true end <br />correct. All provisfons of laws and ordinances goveming this type ot woric will6e completed <br />whefher speclfled herein or not. The granting o/a pertnit does nof presume to glve authairy to <br />vlolafe or cancel fhe provisions ol any other state or local law regulating conshuction or the <br />performance of construction. 17iaf 1 am authorized by !he owner o/ this property to perform the <br />work lor which application is made and I comply wifh the Sfate Contrscfors Law 18.27 RCW and <br />296.200 WAC. <br />0 <br />Phone <br />Phone <br />FEE <br />��� — UJ O <br />