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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 — www.everettwa.org <br />APPLICATIUNS ARE ACCEPTED FROM d AM TO 4 PM <br />J �J / y�� sf-s� <br />PROJECT ADDRE33 <br />C��.i'^ im <br />Mall Addres•: <br />Mall Addreae <br />Contractor Mall Address <br />�nmt I�f IN4 <br />Slale License Number <br />// � <br />Proposed Use ol Bullding <br />Descrlption ol Wark lo Be Done: <br />a <br />� <br />Cily <br />� � Cri-i — 9b'� �r <br />Clty <br />Clry <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL 8ALE8 TAl( CODE IS 3105 <br />State2ip <br />State2ip <br />Slate2lp <br />Contract Price ol Work <br />Conlect Parson (Plan Revlew) <br />1 hereby certily fhat I have read end examined fhls applfcetion end know fhe sama fo I�e fn�e and <br />correcf. All provfslons o! laws and ordinences goveminq fhls fype ol work wtll be completed <br />wNether speclfied herein or not. The grenting ol e permit does not �iesume fo plve eufhority to <br />violafe or cancel fhe provlsfons ol any ofher sfete or local law regulefing construcfion or fhe <br />peAormance o/ consirucffon. Thef 1 am aufhorized by fhe owner o/ Ihls property fo peAorm fhe <br />work /or whlch appllcallon Is mede end 1 comply wlfh fhe Stefe Conlrecfors Lew 18.27 RCW end <br />296.200}N�4C. � <br />FEE <br />Eo��l-U7Z <br />Phone <br />Phone <br />Pt1onB <br />