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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �_, � J' =•' '� i <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org � � �U -. �^ C, <br />j �.✓ � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��'l�% �(.i���� �il% <br />PROJECT ADDRESS <br />Owner <br />Tenan� <br />Electrtcal <br />SL�! F <br />Mail Addrass <br />hlail Address <br />���` / � // L. <br />Mail Addre55 <br />��111SC'�j(' �%7�175 <br />Slale License Number <br />Proposed Use o( Building <br />Descriplion o( Work lo f3e Dono: <br />NOT[: WIRING IN NON•DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />State/Zip <br />Stale/Zip <br />State/Zip <br />n� <br />� � <br />Conlmct ico of Work <br />..,_ C�/lacl Person (Plan Review) <br />Yl, l( <br />I "/ � <br />Y� �� <br />1 heieby cerlily Ih�f 1 ha��e read and examined Ihis applicalion and kno�v fho same fo bo 6ue and <br />conect. All pravisions of lau�s and ordinances govemm,q (his fypo o� work will bo cornpleted <br />irhefher specilied herein or noL The c�ranfing o/ a pertnd does nof �resumo to givo aulhonty to <br />violateorcancellhe provisiensolanyotherstaf0orlocallawr�yulafingconstn�chonorfho <br />perfomiance o( construcfron. Thaf I am authorized by fhe o�rner o/lhis p�aperty fo p�rfomi fhe <br />n�ork lor which application is made and I comply �vilh (he Sfate Confracrors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />Phone <br />Phone <br />Phone <br />_ / �� <br />i)03 <br />