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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.everetl�va.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�''��1� Cl1f 1 l ��1+:f'7��4� ��YZCI.� t��l���C'— <br />PROJECT ADDRESS <br />� <br />=1�1;� J�H��\�� >tri�lr - <br />Owner A1ail Address City StatelZip Phone <br />Tenanl <br />Atail Address <br />Cit� <br />StalelZip <br />Phone <br />��nN(�E�( .�� Uc� `�,n�rr( Rv �=/rE' � w� .,> /�c�•/ .;a,� <br />Eleclrical Conirac�or Mail Address Cily Stale2ip Phone <br />����C.i� io �j`( G? r� <br />Stale Licensc Nmnber' <br />�-�� z � <br />Pr posed Usc o( Building <br />����'C� <br />Conlracl Price of V�brk <br />ConlaclPerson (Plan Review) <br />Description ot Work lo Bc Done: )�C� �! I�L F� Kf�l- I ir �(T1 !=�' g U�� Oz�.'� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RAC[WAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />y certily (haf I have read and examined this application and kno�v fhe sarne fo 6e frue and <br />All provisions ollaws and ordinances �oveming this 1}�pe oI �voik will be complefed <br />r speci6ed herein or noL The granfing ol a pemuf does not presume fo give aufhonty to <br />or cancel the provisions ol mry other state or local la�v regul<�fin� consGucUon or the <br />iance ol construcfion. That 1 arn aulhonzed by fhe o�vner ol this property fo perfonn fhe <br />r�tihich applica(ion is rnade and 1 comply �rifh fhe State Con(racfors Law 18.27 RCW and <br />FEE <br />