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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRE�T, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />���� � �� �� <br />PROJECT ADDRESS <br />�� � ���' l � l �.(�✓t ��.Z <br />r?�., <:7�-�'i� � � c� 1� l?,lCc �-c;eiZr°�% L.3 <br />O�vner A1ail Address C�ty Slate.�Zip Phone <br />Tenanl <br />Mail Adaress <br />City <br />State/Zip Phone <br />��� ��U� L ! °' L --__"'1--��]I�/r1 i \ Gi �/I�r � Ci�.0 % �.) <br />EleelriCal ConlraClor M11a11 Address Cr; Sta1NZ�p Phone <br />Tr� xTo � s 5_�vM�� <br />Stale License Number <br />�[— � . �ti c.rc �' <br />Proposed Use of Building <br />Descriptinn oM�ork lo [3e Done: I iG/)9U �t+ �' / R��� �+`�`J <br />NOTE: WIRING IN NON-DWELLINGS IS RECIUIRED TO <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contract Price of Work <br />Conlacl Person (Plan Reviev+) <br />IOeraby certily:haf 1 have iea.1 snd ex�mined fhis application and know lhe same to be true anA <br />conact All pro�isions olla�vs .�r.d orJinancea governmg Ihis type ol work �cill be completed <br />whciher specified herein or no( i he granling ol a pemut does not pmsume to yi��e aufhonty fo <br />violaie or cancel Ihe I�rovisiens ot any ofher slate or local law regulaling consfruchon or the <br />umlonnance o/cons(n�cfion. That l om aufhonzed by fhe o�rner ol this property fo peAorm fhe <br />.vork»r �5_hieH nppficafion is made mid 1 comply �vith fhe Sfate Co�fractors La�r 1 B27 RCW �nd <br />FEE <br />///� �'.�_ �j� <br />