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ELECTRICAL PERMIT APPL��ATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.averettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��� �?.�P��Ov� <br />PROJECT ADDRESS <br />e_ ��� <br />o�v��� <br />;� <br />Mail Address <br />g�.��-�.���e. �-t�.- <br />City <br />Slale/Zip Phone <br />Sc�,v�—� <br />Tenan� Mail Address City State2ip Phone <br />G C!�S � <br />��'� ✓��`1-U' � � �'� '�' \� � � � ..1-,�.� 1 0 5 � � `��) l�s�� rvvv, /���i��� lQ . il�i���)o -� <br />ElecUical Conlraclor A1ail Address <br />��1LvtX�)C� � L��-_A � � <br />Stale License Numher <br />� � . C7--�. � C'' <br />Proposed Use of Building <br />Description of Work to Be Done: <br />��l <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />Cily <br />SWle2ip ' Phane <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />ceAi/y fhat 1 have read and examined this applicalion and kno�v Ihe sarne to be frue and <br />All provisions olla�vs and ordinances govemmg this type o! wcrk will6e completed <br />specdied herein or noL The �ran(ing o/a perrnif does nof uesume to give aufhonty to <br />r cancel the provisions o(any ofher sfate or local law rec�ulaling consfruc6on or the <br />ince o/ construcfion. That I am autho�ized 6y fhe owner o/ this property to pe�fomi the <br />�vfiich application is rnade and I compty wifh the State Confracfors Law 1827 RCW and <br />�oU <br />FEE <br />�n.ol-7a-- <br />)� <br />