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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES -�_�g,-o� <br />3200 CEDAR STREET, EVERETi', WA 98201 /��� 7_ i5f <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org l. <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� /{2/.(�2.i��i� ��. <br />PROJECT ADDRESS <br />A1all Address <br />Clly <br />iw <br />SlaleRip <br />Phone <br />Tenant Mail Address Ciry Stale2ip Phone <br />-_rG��/V/�L=2� <br />E e� frical Conlraclor M�l Address City SlatelZip Phone <br />Stale Licanse Number <br />Propased Use ol Buildinc� <br />� <br />Descriplion o( Work lo Oc Dona: <br />NOTE: W IRING IN NON-DW ELIINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contracl Price of Work <br />Conlacl Person (Plan Review) <br />f[E <br />/ here6y certily fhaf 1 have rend and exarnrned this application and kno�r Ihe sarne to be true and � LO L'� _ Is' , <br />correcL All provisions o/lau�s and ordinances govemmc� this fype ol �rork wdl be complefed li <br />whether speaGed herein or noL The �ranting of a ponnd does not presume fo give aufhonty to <br />violafe or cancel fhe nrovisions ol any other stafe or locdl la�r regulafing consWcfion or fhe <br />perfomiance ot constn.;fion. 7haf 1 am aufhonzed 6y fhe o�tiner o/th�s property fo peAomi the <br />work lor �vhich appli�afion is made and 1 comply with fhe Stafe Confractors Law 18.27 RCW and <br />296.200 WAC. <br />1 Q <br />?�l�ai�,��.�� <-1�-�� U � � � ' C�C/ <br />