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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 2'a� — 3 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� � M �: � �a� Ev���;�1 �aA ��zv <br />PROJECT ADDRESS � � <br />Owner <br />Tenant <br />:I�I 30�7 .; �.� 5� <br />�dail Address <br />Mail Address <br />City <br />City <br />State2ip <br />State/Zip <br />� u,i 30�- <br />Phone <br />Phone <br />„���� r-,� �N� �= <br />EleCtrical Conlractor Mail Address Ciry StalelZip Phone <br />Slale License Number <br />Use of Duilding <br />f �5� �� <br />Square Foo�age (If residen�ial ew conslruclion, remodel or addition)�� <br />Descriplion of Work to 8e Done: <br />� bl <br />Conlracl Price of Work <br />Conlact Person (Plan Review) <br />J I � YJ�iYICe�'�-- <br />�N o w' ��i!W d� vll�� ex(5�3. `{�f'�c�e �- <br />� � <br />NOTE: WIRING IN NON-DWELIINGS IS REaUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. ����� <br />CITY OF EVERETT LOCAL SALtS TAX CODE IS 3105 <br />I heicby certily thaf I have road and e.ramined this ��pplica(.on and kno�v the sanie (o be tnie and <br />correcL All provis�ons o(la�vs and ordindnces govenunr� Ihis type olwoik �vill be cernplefed �W �3 �"Z —(� 7� <br />rhetherspeciGed hcrein ornoL The grm�ting oI a pennd does not pr�stnne fo give autl�onty to <br />violate or cancel the provisions ol any ofherstale orlocal la�v regulnting construcfion or the <br />perforrnnnce o/construction. Thaf 1 am authonzed by the o�vner o/ fhis property fo perform the <br />�vork lor �vhich applicali is nmde and 1 comply wifh fho Slafe Con6acrors La�v 1827 RCW and <br />296.200 WAC,,� , <br />�� ��� �����,� <br />