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ELECTF�ICAL 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 8 AM TO 4 PM <br />-', �;21 S ��� -�V� <br />PROJECT ADDRESS <br />�or�,� � <br />0 ner <br />Tenant <br />Eleclrical Contractor <br />Mail�ress� I <br />Mail Address <br />7`� <br />Mail Address <br />� r� n� .������� <br />State Licerse Number <br />������'C L� <br />�Pro ed Use of Building <br />/z�� <br />Squar'e Footage (Ii residential new construclion, r��notlel or addition) <br />City <br />City <br />State/Zip �/�i��ti"/ (�» � <br />7/ <br />Slate/Zip <br />Phone <br />City . v v, � StatelZip /�� � p��}pn@�f <br />�/� b � (l O <br />�� � <br />Conlract Price of Work <br />Contact Person (Plan Review) <br />NOTE: WIRING IN NON-DWEILINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />y ceRily thaf 1 have read and examined fhis <br />A/l provisions o/ la�vs and ordinances gov� <br />rspeci(ed herein ornoL The ,qranting oI a <br />or cancel the provisions oI any other state c <br />iance of consPn�ction. That 1 am aufhonzed <br />:afion and know Ihe same to be (rue and <br />� this typo o/ work will be completed <br />t does not presume to give aidhonty to <br />d law regulating construcfion or the <br />e owner o/ this propeRy to peAorm (he <br />� State Contrac(ors Law 18.27 RCW and <br />/r/?/� <br />FEE <br />CIz� (-a�5 <br />