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I <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREIT, WA 98201 <br />425-257-8810 • FAX A25-257.8857—www.everett%va.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />EI �_i3d <br />PROJECT ADDRESS <br />Owner Mail Address City $talerlip Phone <br />Tenant Mall Address Gty Stere2lp Phone <br />4tu\,Lp �&- nA 4 U1 Z' 1.12 2L •.( wa q �i(eEl <br />Electrical Contractor Man Addroas Clly Slateizip ;)Cle • ;j kA R' Phone <br />'� OQ <br />�- <br />State License Number Contract Pdce of Work <br />Cu <br />Proposad Use of ©utlding Contact Person (Plan Ravlew)/� <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MG OR AG CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby teddy that I have rood and examined this application and kpow the same to be true and ia� 1 <br />conecr. All provisions of laws and ordinances pove nlnjy this type of work will be completed <br />whether specified herein oorr not. The granting of a perm I does not presume to give authority to <br />via to or can the provisions of any other elate ONocellawregutebng construction or the <br />peso anC¢ of construction That 1 am authorized by the owner Of this ropeity, to pe7dcrm�haetd <br />w which application ie made and 1 comply with the State Contractorn Lew 18.2 RC <br />WAC. <br />. <br />'Ianalure al <br />