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�LECTRICAL PERMIT APPLICATION <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />(� C W 1�51�)�C1� f�V� <br />PROJECT ADDRESS <br />Lu � l� � 1� � C <br />Owner <br />Tenant <br />p�rJS j <br />Mail Address <br />Mail Address <br />City <br />City <br />M�Ca�Niy `'u-l�►��L e0 ��vL <br />Eleclrical Conlractor Ma�l Address City <br />M�C��N'CCn�3r�J <br />State Licanse Number <br />s �i, <br />Proposed Use of Building <br />Description of Work to Be Dona _ FJ�� SFI� �. f� ��%VI <br />Stale/Zip <br />S:alelZip <br />State2ip <br />Conlract Price ot Work <br />Contacl Person (Plan Review) <br />NOTE: WIRING IN NON-DWELL�NGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />S� DO <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I he�eby certily Ihaf I have re�3d .ind ea�amined this appdcation and .know the same fo be We and <br />conecL All provisions ollaws and crdinances go��emin� (his type ol work will be completed <br />whefher speciGed herein or noL The granting o! a pennrt does not resume to give authordy fo <br />violate or cancel fhe provisions o( any ofher sfale or Iecallaw reguPling consWcfion or thc <br />perfonnance oI construcfron. That I am autho�ized by the ouvier o/ fhis �roperty to perfomi lhe <br />work Ior which applicalion is rnade and I comply �vifh fhe State Confractors Law 1827 RCW and <br />296200 WAC. <br />Phone <br />Phone <br />Phone <br />