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ELEC7RICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEOAR STREEt, EVERETT, WA 98201 <br />425-257-8610 - FAX 425•257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTEO FROM 8 A1�1 TO 4 PM <br />� q ��.� �� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Electrical Contractor <br />Mnii ndtlress <br />Mail Adtlress <br />�i •r � ...� n (a ""1,1 '0 � <br />� � ' v <br />Stale Licensc Numher <br />Propose�s�t SuOding <br />Description nl Work to Be Oo�e� <br />City <br />Cdy <br />��,y <br />la --a�—+3 <br />Ei3�o-�93 <br />StatelZlD <br />SlatclZ�p <br />Phonc <br />Phane <br />t �,�Ct �� E�IC�', <br />S�a�e�Z�o a� a y��.� o�, <br />3Do <br />ConiraG Price of Work <br />1 � ry�,i--� <br />ContadPerson (PlanReview) <br />NOTE' WIRING IN NON-DWELUNGS IS RE4UIRE0 TO f�E <br />BE IN RACEWAYS, MC OR AC CABLE . �O �� <br />CITY OF EV[RG77 LOCAL SALES 7AX COD[ IS 3105 / <br />1 h�reby certily �naf I have read ond oxamined fl,�s appl�calion and knov� �he same fo be Vuo . nd � I �',y <br />corretf. All p!ovisions of laws and ord�nances goveming Ihis type oI wo�k wd16e compfefed � �� —� � <br />whather spcc�fied hvrein ornot. Tho granlln,q ol n purmi! does nofP�esume fo g�ve aulhodly fo <br />violate or cance� fhe Aiovisions ot any ofher stufe orlocal lew rngu afing conshuctlon o� the <br />pe�lormenrn o! con5�rucfion That ! am iuR�oured, by (ho owner ot this propeay fo periorm the <br />wo /Or whiGh OpFliCobon r� �nadC Ond f COmpfy wRh !hc SfBte Cont��cfors La�v 18.27 RCwand <br />zv�mownr, , <br />n <br />