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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES ,S_ 3-b S <br />3200 CEDAR STREET, EVERETT, WA 98201 �'� S� 5� ��� j <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />��''1U m��l�'�ci.JQ�.�1C��;r� JCIQQC}�1��j `IE�ZD3 <br />PROJECT ADDRESS <br />or���,� c,��,��. U�.B� a� <br />Owne� Mail Address <br />City <br />�� <br />Tenant Atail Address City <br />Pr� �l�01 �-� 5� a��� sa o�-,� ,�,, � e.�. <br />E�ectrical Contraclor Mail Address Ciry <br />l�rv �� a�-�- c� 4 c. L <br />Stale License Number <br />S �� <br />Proposed Use of Building <br />Descriplion of Work to Be Done: <br />W�� <br />Stale/Zip <br />Slate/Zip <br />� � 5��s� <br />�State2ip <br />� ��� <br />� <br />Conlract Price of Work <br />ContaclPerson (Plan Review) <br />a� , � oo �9-� ��'� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily fhaf 1 have read and examined this applicafion and know the same to be fnie and <br />correcL All provis�ons o/laws and dinances govermng this lype ol�voik �vill be completed <br />whether specibed herein or not. T i r gr�ntinr� ol a pennd does not presurne to give authonty fo <br />vio/ate or cancel fhe p�ovi,�ions of 3 ry ofher stafe or local la�v regulating construct+on or fhe , <br />La�v 18:27 RCW and <br />Phone <br />Phone <br />:�-�5�-��s� <br />Phone <br />C o���-�;-C:! �5 <br />