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�a3 <br />PROJECT -ADDRESS <br />Tenant <br />Electrical <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX ,125-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Mail Address <br />Mail Address <br />�G��rrc <br />u Mail Address <br />R VA s i iS � -7 J'0' j <br />State License Number <br />Proposed Use of Building <br />13 1Ltz:P <br />Square Footage (if residential new construction, remodel or addition) <br />Description of Work to Be Done: �nS <br />�"- r lncSrsr'�-r creS <br />ram] <br />City <br />City <br />State/Zip <br />StatelZip <br />City Stale/Zip <br />� IgoO <br />Co�nV ct I- Price 4L Work <br />`fj <br />_J60-L6(- 49(ft( <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Phone <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I havo read and examined this application and know the same to be Info and �_ � - G ZL <br />correct. <br />efhcir s Ilecicod hemui ortnof rrTire ranting of a permittdoes not pplresume fohgicompleted <br />o a pl only fo <br />violate or cancel fire pprevisions of any other state r local law regulating construction or the <br />performance of consfniction. That I am authorized by the owner of this roperiy to perfomr Ilia <br />work for which application is made and 1 comply will, tiro State Contractors Law 18.27 RCW and <br />CL�� S-7-f <br />