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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-Z57-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� � a ;�-- <br />,� j:� i✓l.: K, l�-�(�� F��� �1;� , <br />'pROJECT ADDRESS <br />�i �.� <br />, ��- � � '� <br />L�� v �, h�� �� �-��-� 5 9 � z �� zc�� � <br />Owner Mail Address City Stale2ip Phone <br />Tenant <br />Eleclrical Conlraclor <br />h7ail Address <br />Mail Address <br />_;��, �Ti �t= :�- �> �;i �� C�. _ I� _ <br />Stale License Number <br />(� ;J � I � ��� �� <br />Proposed Use of Building_ <br />City <br />City <br />State2ip <br />Slale2ip <br />CoNracl Price ot Work <br />CoNact Pcrson (Plan Review) <br />. . i <br />Description af 1^Jork lo Be Done: C. � 1 1� L. 1V�' �: � r 4 � r� P i\ C'C-' <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 he�eby cerhly that 1 have read and examined fhis applica(ion and know the same lo be In�e and <br />correcL All provisions ollatvs and ordinances goverrung this fype o/tvork will be contplefed <br />whether specdied herein or not The �ranting ola pernut does nof resume lo gi�e authorit}� to <br />violafe or cancel ihe provisions o�any ofher state or local la�v reguPling conshuction or the <br />performance o/constniction. That I mn authorized by fhe owner o/ 7fus properiy fu perlorm the <br />�vork Ior n�hich application is nmde and 1 comply �rith the Sfafe Contracfors Law 18.27 RCW mid <br />296.200 11�AC. . <br />FEE <br />�1 <br />d <br />�= S �i' � � <br />Phone <br />�/Z� <br />Phone <br />