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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SEaVICES <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 CARDS ARE NOT ACCEPTED <br />�o � � 3 CJe trro2P fr'��� <br />PROJECT ADDRESS <br />%ni!'/Lk C fi'//�i° G� 9�� �•Lr/�x�'e �-' L- (/� Ri % Ci� 9f�o( v�7- �y� SBiB <br />p�e� � Mail Address Ciry SWtelZip Phone <br />Tenant <br />Atail Address <br />Giry <br />Stale2ip Phone <br />r,JcriD��p E/e�Ti'..� �!/30 ���� yv� u� rt� Lr.✓,vv r� l✓A 9br ?� 4a s� as�• &996 <br />Electrical Contraclor Mail Address Ciry Slate2ip Phone <br />Ct�o�o�CS �,� � 6r _ <br />State License Number <br />%1eS. <br />Proposed Use of Building <br />Description of Work to Be Done: <br />NOTE: VYIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 5105 <br />1 hereby certi/y tbal f have read and examined fhis application and know the � <br />correcL AI! provisions o/ laws and ordinances govemmg this type ol work w�,� <br />whefher speafied herein c not The granting o/ a permd dces nof presume �; <br />violate or cance� the provisions o( any other sfate or local law regulafing cons� <br />peAortnance o( construcfion. That I am authonzed 6y the owner o/ this prope <br />work lor which application is made and 1 comply,4vifh the Stafe Confractors Ls <br />296.200 W�C. „ � <br />�/� <br />Conlract Price of Work <br />Contact Persan (Plan Review) <br />e to be Vue and <br />complefed <br />ve aufhonty to <br />fion or the <br />lo peAorm the <br />i9.27 RCW and <br />FEE <br />