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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3?00 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 />-�% �J � y _ <br />� / /` C_/� ��l(' ��%i Ct c, �i �� l��/� . � �L�(��'� LGY. � �i..% %/-�az <br />PROJECT ADDRESS � � <br />Owner <br />Tenant <br />A1ail Address <br />Mail Address <br />��! t�� CI%1l !� �{=, <br />Conlraclor Mail Address <br />State License Number <br />Proposed Use o( 8uilding <br />Description o( Work lo �e Done: <br />/ -�: 1 t:.� � �iL <br />City <br />Cily <br />Cily <br />Slale2ip <br />Slate2ip <br />Stale2ip <br />�j � �-- <br />� 7 � �i <br />Conlracl Prico of Work <br />Contacl Person (Plan Review) <br />� <br />/� / l ) I � � ; � <br />i/' L(C'I'C r/ /.. �/� � i(i', I i_', (-, l,i�i d- iai : -�t (c�i� <br />' —� / <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAI'S, MC OR AC CABLE. <br />CITY OF EVERE TT LOCAL SALES TAX CODE IS 3105 <br />/ hcreb}� r.ertily that 1 have read and exarnined this ap��lication and knoiv Ihe same to be true and <br />coirect. All provisions o( fa�vs and urdinances govemmg fhis type o( work will be cornplefed <br />�rhefher specified hc�ein or noL The granfing o/ a pernut does not presume to give authonty fo <br />violate or cancel fhe /�rovisions ol any ofher state or local Imv rec�ulafrng construction or tho <br />performance o/ consfn�ction. That 1 am aufhorized by fhe ouner o� this properiy fo perfonn fhe <br />work !or which application is mado and 1 compl}� �vifh fhe State Contractors La�v 18.27 RCW and <br />296.200 WAC. �- <br />L�. �=�� <br />� �/�� <br />, _ _�. - � , � i 7_.� <br />,— . _ <br />FEE <br />_ (. / <br />f �,� J� <br />Phone <br />Phone <br />Phone <br />