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PROJECT ADDRESS <br />Tenant <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 S—o7y" �� <br />425-257-8810 - FAX 425-257-8857 — wwva.everettwa.org C� pp S—��Z <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />s� <br />Mail Address <br />Mail Addross <br />j���C/6 <br />E,��,��L— � <br />Cily Stale/Zip <br />City <br />State/Zip <br />Phono <br />(% (�// ��i7 <br />Eleclrical Conlraclor Mail Address Cify Slate2ip Phone <br />Stalo License Number <br />���1�> �_ - <br />Proposed Use of Buildin� <br />ConLacl Prico of Work <br />Contact Person (Plan Reviow) <br />Descriplion o( Work lo Be Done: C�t .'- ' � � � �Zif �` U� 1.—r_; C'� <br />NOTE: WIRING IN NON-DWELLINGS IS RI QUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />y certify thaf I linve read nnd examined this applicefion �+nd know Ihe sama to be fruo and <br />. A�I provisions olla�vs and orxiinances c�ovenung (his typo ol work will Ge compleled <br />�r spec�Ged Oerein or noL The c�ronting ol a pennd does not �resumo to �ive authorrfy to <br />orcancelthe provisienso/anyotherstafeerlocallawreyulatingconsWcfionorthe <br />iance et conslrudion. Thaf 1 am euthoiized by tf�e o�ancro/this piaperiy lo peifornt tho <br />�r �ti�hich appl�tiqn is made and 1 comply �rith Ihe Sfate Confracfors Law 18.27 RC W and <br />/ <br />�-,� �S <br />� ;z�/ �v <br />F[E <br />(;1�'��rJ�(�� <br />