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ELECTRICAL PERMIT APP�.ICATION <br /> CITY OF EVERET7 PERMIT SERVICrS <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8890 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PNi <br /> _ I I `Z2� I`1��{,,-� S� <br /> PROJECT ADDRESS <br /> '��� �� `��,�:��( i,'-}� (, (t�� <br /> Owner Mail Address City State/Zip Phone <br /> Tenenl Mail Addmss City Slale/Zip P;ione <br /> �i C.nc..� �Cti�� <br /> Eleclric Conlraclor Mail Address City Sla�eiZip Phune <br /> State License Number Contracl Price of Work <br /> � ( � ' f .1.� s �z�,� �e re,� ��fi�� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description o(Work to Be Done: _ ,Q��Y���Q /J,Q✓ViZ( �� �j���_ '(—u��/ ��-{- t" <br /> �-� 'L� <br /> NOTE: WIRING IN NON-DWELLI!JGS IS REQUIRED TO FEE <br />� BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y cmtily thal 1 have read and examined fhis applica(ion and kno�v the same to be true and <br /> correct. All provisions ollaws and ordinances govemm�fhrs type ol work will be completed <br /> whether spealied herein or noL Thc�ranting o!a penmt does nof resume to�ive authority to <br /> violate or cance/the provisions of any other�tale or/oca/law raguPfin�construction or the <br /> P o k lor whicH applicafor�s n a�de araid I co�m�%ed'th fhe Sfate ConV�acto�s La�w 78.27�RCW and <br /> 296.200 WAC. <br /> ���:.��c �`�%t ��.,�- t� ` c�.� <br /> Signature Dafe <br /> ` �O�Gy-d8 '] <br /> � <br />