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EL�CTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wv�Nv.everettwa.org <br />-��v�� S��a <br />PROJECT ADDRESS <br />� <br />�� n� � � <br />Owner <br />_ C� :. <br />_ \ <br />Tenant <br />Eleclrical Conlraclor <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />MailAddmss <br />Mail Address <br />A1ail Address <br />LJ � �i����' � <br />�u���z <br />Cily <br />Cily <br />Cily <br />Slate License Number <br />--���,������, �} �; � -�� �,�,1 �� <br />Proposed Usc of Building <br />Descriplion ol Work to 6e <br />\ <br />. 1���� � <br />Nc:TE: WIRING IN NON-DW[LLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />�'S�� <br />�i b� <br />�i �': �1��0 i <br />Stale/Zip <br />State/Zip <br />Slatc/Zip <br />Conlracl Price of Work <br />Contact Perscn (Plan Review) <br />Phone <br />Phone <br />i t� � f� � tJ <br />CI,-Y Of EVERETT LOCAL SAI.ES TAX CODE IS 3105 <br />1 hereby certil}� fhaf 1 have ro2d and examined Ihis apulication and know the same to be true and <br />carecL All prorisions o! laws and ordinances govenung this type ol work will be completed <br />n•hefher spec��ed herein or noL The gronfing o/ a pernut does no; presume to give authonry to <br />violafe or cancel fhe provisions ol any ofher sfate or local la�v regu/nfing consWction or fho <br />perforrnance o( constn¢fion. Thaf I om authorized by fhe owner ol fhrs propeAy to pedomi the <br />work !or which application is made and 1 comply �vifh the Stafe Confractors!.aw 18.27 RCW and <br />29G.200 l�'AC. <br />_... � . � �,� ��- `-� i I S % G �6 <br />FEE <br />F��c����� <br />Phone <br />