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ELECTRICAL PERMIT APPLICA�'ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S�fREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />/O <br />APPLICATIONS ARE ACCEPTED fROM 8 AM TO 4 PM �� <br />! �.�; r ,� ?� 1 f�v � s � � - � l., t � <br /><.. e. � <br />PROJECT ADDRESS <br />�-, � �/�..: � /s�c� � � ��. ,�°.i � <br />Owne� Mail Address <br />Tenant Mail Address <br />� <br />��.,.,�-�� r k��Er«. /�/�1%//��. D t'�i� � <br />ElecUical Conlrector Mail Address <br />�:i� i 7%%t ���t <br />State License Number <br />Proposed Use of Building <br />Descriplion of Work lo Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED T� <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Ci�y <br />City <br />City <br />. rs> <br />State/Zip <br />Slate/Zip <br />State/Zip <br />Coniract Price o( Work <br />Conlact Person (Flan Review) <br />1 hereby certily Iha( I have read and examined this applicafion and know fhe same to be true and <br />correct. All piuvisions o! la�vs and ordinances governmg this type oI work ia�ill be completed <br />�vhefher specilied herein or noL The granting oI a pernut does not �resume to give aufhonty to <br />violate or cancel the provisiuns oI any other state or Ivcal law regul�ting construclion or the <br />perlormance ol construction. That 1 am authorized by the owner ol this property to perlorrn the <br />�vork (or which applicafion is�nade atXd I comply wifh the State Con(raclors La�v 1827 RCW and <br />296.200 WAC. . % / <br />/�', tv (c <br />FEE <br />� 3�/-c'�73 <br />Phone <br />Phone <br />> >jc-j�9p. <br />Phone <br />��liU-UKl <br />