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n <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �j �/ Z--iJ % <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org �fl�0 j--�5� <br />V <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />i <br />,, ' ; �` - . � <br />� /� `> l 7 � � /� � �, ,Li r�W C_- <br />F�ROJECT AODRESS <br />�� � <br />��� � v , �✓ � �JR-iti'P i% � �rv� t' �l . Lt/n/ ` t'�o.5 <br />Owner Nail �ddress City Slate/Zip Phone <br />Tenanl <br />� ` I"� - � <br />Eleclrical Contractor <br />Stale Liconse Number <br />Proposed Use �I Duilding <br />Idail Address <br />M17ail Address <br />Descriplion ol Work �o Oe Done: ��' �� i�lL� <br />NOl'L"-: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />�[ IN RACEWAYS, MC OR AC CADLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hae.by ci�rti(}� (hat 1 have read and examincd fhis applia <br />conect All provisions ollaws and o�ziioances governmg <br />���hefher speaGed her�in or noL The grantinq o( a penr�d <br />violate or cancel fhe In�ovisions ol an}� ofher sfafe or local <br />perlormance o! construction. That I ant aulho�izeA b}� Ihe <br />worh lor which application is made and 1 cornpty �rifh fhe <br />296.200 WAG. <br />i <br />� <br />j� �'�-., � � � � <br />City <br />City <br />Slale/Zip <br />Slate/Zip <br />Contracl Price ol VJork <br />Conlact Person (Plan Review) <br />�fion and know the same fo be fnie and <br />this type o/ irork will be complefed <br />does nol mesume to give aufhonty fo <br />law regu��ting cans(n�cfion or fhe <br />oirner ol fhis property fo pertann the <br />Sfate Contracfors La�v 18.27 RCIN and <br />., <br />� � ir� -G7 <br />� <br />FEE <br />Phone <br />rhone <br />