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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�( � O � �S <br />PROJECT ADDRESS <br />Tenant <br />Electrical Contraclor <br />`� �� A v e <br />� �� 5�6a� f y'�( <br />Mail Address <br />Mail Adtlress <br />'1 f � c��1 <. /7Z 3 _ <br />hlail Address <br />�'�«����s`-x ` i''/�'-> <br />Siate License"Number <br />r�,�1eh i; �, � <br />�'cI'af�e <br />Proposed Use o Building <br />_„ <br />City <br />City <br />City <br />.1�� -Ysy-c' <br />State.�Zip Phone <br />StatelZip Phone <br />/ State2ip <br />X� <br />�vc� <br />Contract Price o( Work <br />Contact Person (Plan Review) <br />Description o( Work to Be Done: r����� �� ,� c..l� ci ♦ J� �� �Sr <br />rw� ��l s i � `� ����f <br />NJTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceRi(y fh� f 1 have read and exan <br />correcL All provisicns o/laws and ortlina <br />whether spealied heroin or not. The grar <br />welafe or cancel fhe provisrons of any oft <br />peAermance ol construclion. ihat 1 am a <br />�vork fcr �vhich application : s made and I c <br />296.200 WAC. <br />�/ ��� ; <br />— > <br />i <br />this applicaticn and know the same to be true and <br />governing this type of wcrk wdl be completed <br />�l a permd does not presume to give authonfy to <br />ate or/ocal law regulating construchon or the <br />ized by the cwner of this property fo pedorm the <br />�v with the Sfate Contractors Law 18.27 RCW and <br />.� — � L � C�� <br />FEE <br />;���� <br />� <br />Phane <br />��iSG z - I � L <br />