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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, 'VVA 98201 <br />425-257-881 C - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 itM TO 4 PM <br />PROJECT ADDRESS II <br />�-I�ITI't ( 04, <br />Owner l Mail Address City c State0p, Phone <br />I L� ` Lam' vq ?jYU I Vi ts-� � - G '"'r'>cT- _ <br />Tenant Mail Address City State/Zip Phone <br />Electrical Contractor Mall Address City State/Zip Phone <br />^PCqjc-0C �j3�DfZ <br />Stale License Number Contract Price of Work <br />Proposou Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON-D"'ELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />I <br />CITY Or EVERETT LOCAL SALES TAX CODE IS 3105 ��iv <br />1 hereby certify that I have read and exN <br />a nined this application and know the same to be true and �l t <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the previsions 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 <br />work for which application is made and 1 comply with the State Contractors Law 18.27 ROW and <br />296.200 WAC. <br />7 <br />Ualc <br />