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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, �VA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�`� •Z 6 1,.5/�. �- ,a � � � � � <br />PROJECT ADDRESS <br />Owner Mail Address ���Y <br />Stale/Zip <br />Phone <br />Tenant Mail Address City State,Zip Phone <br />'–1 z S <br />�� �P �� � � � �( � � d 1 �.v e+o '[> � t `�.7 /.] a ��. 9 g2�-i � 3 t �c _ I �, J <br />Electrical Cuntractor Mail Address City Slate2lp Phone <br />�� �[t _ � O I <br />j���^'�� I� 1 �' � Contr�t Price of Work <br />Stale License Number <br />���� <br />Proposed Use of Building <br />Cnntact Perso�� (Plan Revlew) <br />DescripUon o( Work lo Bo Dono: ��2� 1`� c� w \�,m•G I� M\� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SAIES TAX CODE IS 3105 <br />1 hereby cerii(y fhat I have reod and examined this application and know fhe sarne to 6e true and <br />correcL All provisi� �s of la�vs and ordinances goveming this type ol werk will 6e completed <br />whefher specibed herein or noL The granting of a pennd does not resume to give authonty to <br />violato or cancel the provisions oI any ofher sfafe or local law reguPting construction or the <br />perfonnanco oI construction. TRaf 1 am aufhonzed by the o�aner o/ fhis propedy fo pedomi the <br />�vork lcr �vhich application is mado and 1 compty with tho Sfafe Confractors La�v 18.27 RCW and <br />296.200 WAC. <br />FEE <br />