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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.everettwa.org <br />a —a a'-� 5 <br />�aSaa-142 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />. � ���J ✓r /�L � � ��-�-rl �C � r l <br />PROJECT ADDRESS <br />Owner' . __MaiLAcldress <br />��------ — _ <br />Tenant <br />Electrical Conirector <br />State License Number <br />Propased Use of Building <br />h1ail Address <br />Mail Address <br />Description of Work to Be Done: � <br />� . . . .. .-�r�. ,,. <br />�� <br />Ciy <br />City <br />City <br />r C_ <br />�f � c,3 <br />� Phone <br />5�,� s 3y� y <br />State2ip <br />Stale2ip <br />Contrect Pnce of Work <br />Contact Person (Plan Review) <br />� � . l/ F.(_L-' �/ �'�� <'/ / -'r <br />� ,L r- �; <br />- � /c_ � C-/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 />I hereby certify that I have read and examined this application and know the same to be true and <br />correcL All provisions of laws and ordinances governmg this type o( work �vill be completed <br />whether speciLed herein or not The gran(ing ol a pe�mrt does not presume to give authority to <br />violate or cancel the provisions o( any other stafe alccal la�v regulating construc�icn or the <br />peAormance ol construcuon. That 1 am authonzed by the owner of this property to pedorm the <br />work lor �vhich application is made and 1 comply wdh the State Contracters Laiv 18.2� RCW and <br />296.200 WAC.^ <br />�.. � • . -� <br />� � � �� � ( i��C'i �'� � �� � ����' ���7 ��! � <br />FEE <br />Phone <br />Phone <br />� c� �� li `1 1 '-� � <br />