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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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��c � �� � s� s�� <br />PROJECT ADDRESS <br />-L.--L�L�� � <br />Owner <br />Tenant <br />� ✓i �J <br />EleGrical Conlractor <br />Slale Llconso Number <br />�� �i�-. <br />Proposed Uso of Building <br />n---, �C C <br />/ � �-- �> � 2 � .� <br />Mall Addross <br />Mall Add�ess <br />�,C �L <br />Mall Address <br />Descripliun of Work to Oo Dono: <br />S L L' 1�1=�� <br />City Slate2lp <br />City Stale/Zlp <br />Clly <br />Slale/Zip <br />�n,� <br />—to <br />Contract rlce o1 Work <br />Conlacl Porson (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hernby certily fHel 1 have read ar+d axec�ined Niis epplicnfion e:id know fhe sarno fo be frue end <br />co�mcf All prov�slons o( lews end ortlinances govenung fhis type ol work will Le complefed <br />whelh�r spoci6od herein or noL The granfing ol e pnnmf does nof resume fo give aufhonty fo <br />violafe or cencel the provislons ol eny ofher stafe or locnl lew reguPfing consfn�cfion or tho <br />pe�fomwnco o/ constn�cfion. Thaf 1 erq eufho�ized by fhe oHhier o/ fhis �roperty to pe�lonn fhe <br />wo�k lor �vn��n A���u�Anon r5 mea��,v 1 comply w7fh fho Stefe Confracfors Lew 18 27 RCW end <br />296.200WAC. -� , <br />.,, <br />� / 08 <br />� 27c�. <br />Phone <br />Phone <br />Phona <br />FEE <br />'-�-8 CF - � � <br />