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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 />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM - DEBIT 8� CREDIT CARDS ARE NOT ACCEPTED <br />I 0 I 0`i ('���-�ti A�Q <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />City <br />��ec � � <br />)/� �a�� <br />State2ip <br />Slate/Zip <br />3�I�-'1�`d� <br />Phone <br />Phone <br />�imn,�� EL�C . G�o3 2c,�Sis-� S�Nwo�� w�9�29z y�-.�8 s <br />Electrical Conlractor Mail Address City Stale2ip Phone <br />Sv,�rrnrn � e �o�t m 3 <br />State License Numbe <br />Proposed Use of Building <br />Conlract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: l F�� � L L�� ���L�. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN R,4CEWAYS, MC OR AC CABLE. <br />C� Y OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />fi� ' <br />y certity that / have read and examined this applicafion and know the same to be true and <br />. AN provisions ollaws and o�dinances govemmq this type ol work �vill be completed <br />�r speu(ed herein or not ihe granting ol a permd does not presume to give authont}� to <br />or cancel the provisions o( any other state or local law regu/atMg construction or the <br />iance of construction. That / am authonzed by the owner o( this propeRy to perform fhe <br />�r �vhich applicatio�t is rnade and�l comply with the State Contractors Law 18.27 RCW and <br />n inie�� <br />FEE <br />t �OSGI-d�l�i <br />