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FEN <br />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 - DEBIT t3 CREDIT CARDS ARE NOT ACCEPTED <br />li�l LAI <br />--PROJECT ADDRESS <br />,Jr k1 :U 013 rah \ 1I <br />Owner) r <br />ul ��r+ F�le_C.C..A <br />Mall Address City Slate/Zip Phone <br />'enant Mail Address City State/Zip Phone <br />Electrical Contractor Mall Address City Slate/Zip Phone <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done:i rN r i•r r> > r { f uiy le (0011P! { (ir x'r 1 <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 />1 hereby certify that I have read and examined this application and know fire some to be tnie and <br />correct. All provisions of laws and ordinances goveming this type of work will be completed <br />whether specified herein or not. The grentt:1 j of a permit does not resume to give aufhonty to <br />violate or cane- the pprovisions of any other state or local law regulating construction or the <br />work fo which appll atiotn its ade and I authorized <br />on ply with the owner <br />tate Confractots aw iB perform and <br />29-6.200 ,WAC. <br />SgnatureDate <br />�axi8'i(Di <br />