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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �-10-os <br />3200 CEDAR STREET, EVERETT, WA 98201 C OS06--DO3 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />� 12, � �YvI��,L� e � I�J. l <br />PROJECT ADDRESS <br />n�e��� �3,�. r,� � . s���( <br />Owner Mail Address ���Y <br />' "/'/ <br />Slate/Zip <br />Tenant Mail Address � City Stale/Zip <br />P-�� l��l�� 9� �1�� s�P�e �,,� 2.�. ��z���. ��� � <br />Eleclricat Contraelor Mail Address <br />�r� U� �-�a4�� <br />State License Number <br />�/`�%2 <br />Proposed Use of Building <br />Description of Work to Be Done: ���`— <br />NOTE: WIRING IN NON-DWcLLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />City <br />9, 7 � D <br />Conlracl Price of Work <br />Phone <br />Phonc <br />�.s— <br />Phone <br />Conlact Person (Plan Review) <br />� � � �n� �r� 2� <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily th?f 1 have read and examined this application and kno�v the same to be fn�e and <br />correct. All provisions o( laws and ordinances �ovanmg this type ol �voik will be completed <br />whelher speafied herein or noL The qranfing o/ a pernut does nof presume to give aulhonty to <br />violate or cancel (lie�P� ision,s,olan � ofher state or local law regulating construction orOie <br />peAonnance o/ cAnsf fion/ 7V�at 1 m aufhonzed by the owner o/ fhis property to peAorm fhe <br />work (or which .1uAli a. ion i� rnl�de � id I conmlv with the Sfate ConVactors La�v 18.27 RC W and <br />�/r �/�s� <br />- � ���, � � <br />