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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 8 CREDIT �:ARDS ARE NOT ACCEPTED <br />yy2-�- s� tiu�5r /�1�� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Elecirical <br />slL�i��� •e Tn 9riCJ N <br />State License Number <br />) -< <br />Propased Use of Building <br />Mail Address <br />Mall Address <br />Address <br />City <br />Ciry <br />CIry <br />SGte21p <br />;takv7Jp <br />ShtelZip <br />.� �Sa <br />Con act Price oi Work <br />Contact Person (Plan Review) <br />Description of Work to Be Dane: i� I� Q��Q ��� S�� V�� — <br />NOTE: WIRING IN NON-DWELLINGS IS RFQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />I hereby certi(y that 1 have �ead and examined this application ond know the same to be true and <br />correct All provisions ollaws and ordmances govemmg this type o( work wdl be completed <br />whether specilied herein or not The granting ol a permd does not presume to give authorrty to <br />violate or cancel the provisions ol any ofher state or local law regulating constrvction or the <br />peAormance of construchon. That / am authonzed, by fhe owner o( this propeRy fo peAorm the <br />work for which app6cation is made and 1 compty wdh the Slate Contracrors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />� SS, o 0 <br />�/ <br />_�o_�y a� <br />�o���_oo� <br />Phone <br />Phona <br />Phone <br />