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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 425-257-6857 — www.evc;ettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� I ' ' k � �r < - f,.. . , <br />PROJ ECT ADDRESS <br />�� F�, :'� <br />S i�� •<<��• e i� � � r���,,-� <br />Owner� � Mail Address Cily <br />Tenanl <br />�'�- - <br />Electrical Conlractor <br />Stato License Number <br />Mail Address <br />Mail Address <br />1. i� 1�. (>..-.�, <br />Proposed Use oi Building� <br />Cily <br />Gty <br />� <br />�.`,a� 1`S2C�y- <br />State2ip <br />Sla�e/Zip <br />Slale/Zip <br />Conlracl Price of Work <br />� <br />�i2;� 'il`d' C`� ' <br />Phone <br />Conlacl Person (Plan Review) <br />Descriplion of Work lo Oe Done: ��� � e �1 � i''� •^� "> i� �� � 'r" ;� c^', �� T 4:. � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE �S 3105 <br />1 hercby cati!}� thaf 1 have read and ext�mined fhis applic <br />c:onnct. All provisions o/lairs and ordinances governiny <br />�rhether specified herein or noL The granting o/ a pernuf <br />violate or cancei the provisions ol an}� other s�afe or loca� <br />peilomiance of consiniction. That 1 am aufhoiized, by thc <br />�vork Ier which application is made and 1 comply �rdh Ihe <br />29G200 WAC. ' <br />il <br />\ <br />0 <br />and know fhe <br />vne o(�rork w <br />e to Go true and <br />complefed <br />ve aulhonry to <br />tion or fhe <br />'o periomt fhe <br />�R27 RCW and <br />FEE <br />Pheno <br />Phone <br />