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� <br />E_'LECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDA? STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM <br />•��l ��UL'�'J�1C'�t�� <br />PROJE'CT ADDRESS <br />Owner <br />��,��v-�=i c����� -`�i/ ���i /���or�� �r v�i, —[-[1 <br />Mail Address City � S tU e2ip <br />` � 2>� G�0�7 <br />. �w1�1�r s.1-r; n����. _ <br />Tenan� Mail Address City State/Zip Phone <br />ii �%J'%C�Z <br />Elecirical Conlracbr <br />Licenso Number <br />Proposed Use of Building <br />Oescriplion ol Work to Be Done: <br />Mail Address <br />NOT[: WIRING IIJ NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceriil}� Ihal l have read and <br />correct. All provisions ollaws and c <br />�vhetherspeafieAhereinornol. T.'�� <br />violafe a-cancel (he yrovisions o/ai <br />pe�fomtance ol construclion. That 1 <br />work lor which application is rnade e <br />29G.200 WAC. <br />nined fhis ap <br />vnces goven� <br />nfinp oI a pe <br />her sfate or l� <br />3ufhonzed b} <br />comply �rifh <br />% -��Ll <: <br />Cily <br />State/Zip <br />Coniract Price of Work <br />Conlacl Person (Plan Review) <br />and know the same to be true and <br />ype o( H�ork will 6e cornple(ed <br />� nof rosume fo give authonty lo <br />�eguPfing consfruclion or the <br />er ol fhis property to peAorm the <br />Con6actors Law 1827 RCW and <br />/ /?.� /.�^c7� � <br />FEE <br />Phone <br />� 7C�%-/�D <br />