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i <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />32000LUAR61RLL1,LVLRL11.WA98201 -7�a)�p�f <br />425-257-8810 - FAX 425.257-8857-www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 4 <br />PROJECTADDRESS <br />Owner Mail Address City <br />k lLf\�1\yVII AYY711_A 1101' ' �.) � �lrC lit t} r i,-Q!A CLQs' xi i0-i;�4. <br />Tenant Mail Address City State/Zip Phone <br />1r-CA p or inc �lylu -{*�� A><�*�5, Seams L�11G6I0t (I-40 uc <br />Electrical Contractor Mall Address City State/Zip Phone <br />U.CA I. <br />State License Number Contract Price of Work <br />-1-7,c\ <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done. ArAr&1 Pli, I -SdW IC>Z& <br />1 1-P rllw , rr1 -. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX GORE IS 3105 <br />FEE <br />�-r� <br />1Sa SD <br />111111101 <br />ceth4, that I have road and oxamined It is application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed E0 7 <br />whether specified herein or not. The granting of a permit does not presume to give authonty to �7� O� <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction That I am authorized by the owner of this property to perform the J <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />