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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVIC�S 9�0�--�1 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org �l/ O g�O� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />���� � �' �� <br />ROJECT AD�RESS <br />Owner <br />3 2 `3:.� <br />tilait Address <br />Clty <br />�. <br />State/7Jp Phone <br />JQ�v� <br />?enant Mall Address City State2lp ��� r�hone <br />i"1 n � i . . _ ./ �--. �..rl - -- <br />Mail Address <br />��-�1/F���� �-�. Y� <br />State Lic nse Number <br />S. � i2 <br />Proposed Use oi Building <br />Descriplion of Work lo Bo Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIkED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL S,�LES TAX CODE IS 3105 <br />City <br />Slale2lp <br />l B'cx�°-`L <br />Contract Price of Work <br />Conlacl Person (Pian Roview) <br />� <br />FEE <br />that 1 havo rend and examined this applicelion and know the same to be true and <br />ivisions ollaws and ordinances goveming this type ol woric will be complefed <br />�ed herein or not The granting o( a permd does nof presume to give authonty to <br />el the provi �ions o(any other sfafe or local law regu/ating constnrctlon or fhe <br />� construction. Thaf I am authonzed 6y fhe owner o/ this property to peAorm fhe <br />application is made and 1 comply with the Stafe Centrecfors Lew 18.27 RC W and <br />=l <br />Phone <br />!/� g ' D0� <br />