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ELECTRICAL PERMIT APPLiCATION <br />CITY OF EVERETT PCRMIT 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 />�as ��T� P� sE - <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />ElecYncal Contractor <br />State License Number <br />I Proposed Use of Bwlding <br />tv� �-%� <br />Mail AComss <br />Mad ACOiess <br />Mail Adtlress <br />� <br />Gry <br />Gty <br />Gry <br />yz s iU7 s� y/ <br />Ji9- �� i'�� <br />Sute2ip P�one <br />StaMlZip Phone <br />State2ip <br />ConlraA Pnce ol Work <br />Contad Person (Plan Rewewl <br />DescnpUon ol Work ro Be Done �(%i [E �J��1�. _Y- O U'I LCTS inJ �Q � 0,(J ,Qpnrs� <br />NOTE WIRING IN NON-DWELLINGS IS REQI.'IRED TO <br />BE IN P4CEWAYS. MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J1J5 <br />I hareAy csrldy fhat I have read arrC oramined fhrs appl�cafron and know Iho samo fo be hue and <br />correc( �II prov�sions ol laws and ordmanrns qovemmq (hrs ry� ol woM wdl Aa c»mplefed <br />whefhe� spera(etl herern or nof The granhng ol a po�md Aces nof prosuma lo grve euthonty (n <br />v�ol�to or cencol Ihe prov�sions ol any ofher s7afe or local law mgulafing consinichon a Me <br />parlomrance ol aonstn�cfron That I am aulhonied Dy fho ownor ol fhrs property lo poAorm Me <br />wo�1r loi which apphcahon rs made and I comply w�fh fAe Sfafe Confradors Cew f B 27 RCW end <br />ase �no wnc <br />FEE <br />Phon! <br />���9��s� <br />