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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CE.DAR STREET, EVERETT, WA 98201 y-c� - US <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org C C%S c�1- ����' <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />47e3 SEAF�URST Av� , �v�� <br />PROJECT ADDRESS � <br />Owner <br />Tenant <br />6lectucal Contrector <br />License Number <br />4703 ��weSr Av <br />Mail Address <br />Mail Address <br />Mail Address <br />City <br />City <br />City <br />�E,es�c_ ,e�s��� s; ,� � c - � � ;.,,: »� j <br />Proposed Use of Building ' <br />State Zip <br />State 2ip <br />State2ip <br />Contract Price ol Work <br />Contact Person (Plan Review) <br />Descripnon ot VYoik to E3e Done� °n^ S�P�Q-- �� � N��D � G1�"11l'TS . <br />Phone <br />Phone <br />Phone <br />2. � . . � �f1 V _'!� � ir—'. • _� � _ � - <br />�.�IL� %C f�OClS� — <br />NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certdy that � havo read and examined fhrs app6cafion and kno�v fhe same to be frue and <br />correct. All prov�sioris ol /aws and ordmances governing this type ol work wdl be completed <br />ndiefhor specr(ied herem or not The grantmg ol a permrt does nof presume to give aufhorit y to <br />wolate or cancel (he provisions ol ar,y olher state or local la�v regulafing consVuchon or the <br />peAormance o! construction Thaf f am authorized by the owner o/this property fo pedonn the <br />�vork for �vhich appl�wtion is made and I comply �vith fhe State Contractors Law 18.27 RCW and <br />296 200 WAC. <br />FEE <br />, �-iU `�, <br />�� I <br />