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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 />PROJECT ADDRESS <br />, .'�f.� _ ._ <br />Owner <br />Tenanl <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />I `r_� � 'r, �.�U� C • <br />Idail Address � City <br />Mail Address <br />Eleclrical Confractor Ma8 Address <br />Stale License Number <br />Pruposed 'Jsc cf t3uildinn <br />Cily <br />Clty <br />•, I : � : i . . . .•� J • a �� <br />Stat=iZip �� �PJLone <br />V <br />Slate/Zip Phone <br />StatelZip Phone <br />Contract Price of Work <br />Contac� Pcrson (Plan R�.viee:) <br />-� � , `� <br />Description o( WorV.lo C�e Dcno: f.- I,� 1__ �� �' \� %_l " �'�-+-- ._�� �-� � <br />�-1`.� 1a1�� IaL 1���A'� �lc,L.'t �_ irC�.��� <br />� - �! L <br />� . �'� <br />z <br />l�r��� ; 1=(C� U�l'ti L� A�-� C�•�cc�c <br />NOTE: WIRING IN NON-DWELLINGS IS RECIUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LQCAL SALES 7AX CODE IS 3105 <br />I hereby certily fhaf I have re�d and examin�d (his application and hr�ow the same fo be frue and <br />correct. All provisions ollaws and ordinances governmg this type o/ �vorfr u-ill 6e cempleted <br />�rhether spealied herein or noL The yranting o/ a pemuf does nof pmsume fo give aufhorily fo <br />ciolafe or cancel Ihe provisions ol any other sfafe or local law iegulafing construcfion nr 2he <br />perlommnce o/ construchon. That 1 am aulhonzed by the o�sner of this prepeAy to perton:i the <br />werk lor whicN applicafion is made and I comply u�ifn the Sfafe Contractors Lasv 18.27 RCW and <br />FEE <br />= � ���- ��� <br />