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ELECTRICAL I�ERMIT APPLICATION <br />CITY OF EVERE�'T PERMIT SERVICES S_ a�_�a <br />3200 CEDAR S i REET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org C 1 f%6 s�� ai� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��0 5 o�µ 57`: s,w E���E� <br />PROJECT ADDRESS <br />J ESSiCA' ��/t�✓�'S%i'-�%1 Si1v��. <br />Owne� Mail Address City <br />Tenant <br />Mail Address City <br />%i � � � , � � ��- s•; . �ti�d S) <br />Contfactor Mail Address <br />�l�G ��.��i 9 3 �� 5 <br />Stale License Number <br />�' C�S � f)cniC� <br />Proposed Use of Building <br />Description of Work to D� Done: <br />NOTE: WIRING IN NON-DWELLIIJGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi(y that 1 have read and exomined fhis applia <br />correct. All provisions o(laws and ordinances governing <br />�a�hetharspeci/ied herein ornoL The granting o/a permd <br />violate or cancel the �rovisions of any other stafe or local <br />perfonnance o(constructiorr. That 1 am aufhonzed by (he <br />wnrk �nr �vhich anolrr.ation is made and 1 comalV �vith fhe <br />City <br />C <br />and know the <br />vpe ol work w <br />Stale2lp <br />Slate2ip <br />c✓�- ?$a�,� y�r <br />Slate/Zip <br />�' /�o � <br />Contract Price of Work <br />Contact Person (Plan Review) <br />I1 <br />� to 6e froo and <br />completed <br />�e authonty to <br />tion or the <br />o pedorm the <br />8.27 RCW and <br />FEE <br />'� ,L <br />_� ��'i <br />��' <br />Phona <br />Phone <br />Phone <br />