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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257 8857 rett or <br />PROJECT ADDRESS <br />�f� � <br />Owner <br />i_/ ����- �1 <br />Tenant <br />����� � <br />Electrical Contractor <br />State License IJumber <br />Proposed Use of Buildinc� <br />- — www.eve wa. g r <br />'�` a.,p "FJ% <br />APPLlCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � 7� Gj`� � <br />I�N -� <br />Mail Address <br />�'( �E7J <br />Mail Address <br />. /" 1 <br />/V <br />Mail Address <br />Description o( Work to Be Done: <br />C �ta�t <br />S�� <br />C� <br />S�+{�'S- <br />City <br />�-� `��t �� �i <br />�t' �Zcf <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Cily <br />Ciry <br />S uJ L J f�,U, <br />State/Zip <br />�y _ S i,�J E � <br />Slale/Zip <br />Slale/Zip <br />(pC'O � a2� <br />Contract Price of Work <br />Contacl Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily fhat I have read and examined (his application and know the sarne to 6e Vue and <br />correcL All provisions ol la�vs and ordinances governmg this t}�pe o/ work will be compleled <br />whether speci�ed herein or not. The granting o/ a pemuf does not prasume to give authonty to <br />violafe or cancel (he provisions o/ any other state or local law regulating construction or the <br />perfonnance o7 construcGon. That 1 am aulhorized by the osvner ol th�s property to perform the <br />work lor whicti applicafion is made and I cornply wifh the State Contractnrs Law 18.27 RCW and <br />296.200 W�C. � <br />��:� ����L-,��;�?� �'��G' 0 <br />FEE <br />�Z� <br />Phone <br />Phone <br />Phone <br />�C����3� <br />