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� S�l�-C� <br />ELECTRICAL PERMIT APPLICATlON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereltwa.org <br />� � �� � <br />PROJECT ADDRESS <br /><_Jr f <br />-'�� i�U� i�t+��, <br />Owner <br />Tenant <br />Electrical Contractor <br />Slate License Nmnber <br />Prc posed Use of Building <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />, � i C� , � <br />.�^ �1 <br />hlail Address <br />Mail Address <br />A1ail Address <br />Descriplion o( Work lo Be Done: �C' <br />NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAI'S, MC OR AC Cf.9LE. <br />�; � <br />�. � <br />��_ � � <br />City <br />City <br />Cily <br />�� !��''�i <br />Slale/Zip <br />Stalc/Zip <br />SWIe/Zip <br />Conlract Price ot Work <br />4' � <br />2��f -G',� <br />Phone <br />Contact Pereon (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi/y fhat 1 have read and exarnined fhis applir.ation and know the same fo be true and <br />conecL A!1 provrsions o/ Imvs and ordinances governing (his fype ol u�ork �vill be cornpleted <br />whe(hcr specilied herein or not The granting o/ a permd does nof presume fo give aufhonty to <br />violafe or cancel Ihe ruovisions oI any other state er local I�aw re�ulaling construcfion or fhe <br />perlormance olconstruction. That 1 am authonzed by Ihe o�tner of this property to peAorrn fhe <br />work lor which application is made and 1 cornply wifh fhe Sfa(e Confracfors Law 1C,.27 RCW ard <br />296.2pOlh�C. � <br />i, � �< .�L�r� <br />"� <br />� i:.�. . .� „ <br />FEE <br />�� � � �� <br />i^ <br />Lv <br />Phone <br />Phonc <br />