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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 �_� �—p g <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� � I C:� Yl r� � .a Yl� <br />PROJECT ADDRE& <br />Tenanl <br />Conlractor <br />Mail Address <br />A1ail Address <br />�T�1 � r�T��''1Lr-�l n <br />State License Number <br />Proposed Use of Building <br />ciry <br />City <br />City <br />State2ip <br />siaie�z�� <br />Slatc2ip <br />���0 � <br />Contracl Price of WorY, <br />�ogoa -b5� <br />Contacl Person (Plan Revimv� <br />_'— i I <br />Descrip�ian o( Work �o �e Done: ��— � r` 1�'�� d c � <br />i , . 1 �. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />DE IN RACEWAYS, MC OR AC CAf3LE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 heieby certily thal 1 have read nnd exentined fhis application and knotv fhe serne to be Lne and <br />con�ce All provisions o/ lan-s and orciinances goeenung this 1; �pe of work will ba cornp/efed <br />�vhether spea6ed he�cin ornof. The gronting o! a pernvt doas no! presume to give authonty fo <br />violafe o� cnncel the /�rovisions ol tmy other state or local law regulnfing consfrucfion or ffre <br />perfomiance ol construction. That I om aufhorizod G�� the oisner ol this property fo perfonn fhe <br />wak !or rvltir.h applLcafion is maAc and 1 compl}� �rifh the Sfafe Ccnhacfors Loiv 18.2i RClNand <br />29G.200 Lh��1C. /�. �':, ... <br />I . _ ���_. - - <br />< ' <br />FEE <br />% <br />:�-O� �,�a-S�% <br />Phone <br />Phone <br />Phone <br />