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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - tvww.everett va.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />r <br />PROJECT ADDRESS <br />Ovnor Mail Address City State/Zip <br />C: -;ie G T'�/n I i ;Oi o/ xucxa' I /Azc- ` "" `�/e/� f� &5* <br />Tenant Mail Address City StalelZip Phone <br />a/.e -lvni/ P�tc17%C. /.vim <br />Electrical Contractor Mail Address <br />State License Number <br />Proposed Use of Building <br />City State2n^ipPhone <br />xe—&O <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: t_,'� tLc— <br />i <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 />I hereby cerfly that I have read and examined this application and know the same to be true and �b <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whethor specified herein or not. Tire granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or fire <br />performance of construcfion. That I am authorized by the owner of this property, to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />