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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 — www.everettwa.org L U (� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />C4jS7-A()(1'0 / /eOG 99771360-� <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phont' <br />I-tAmI/C,4ci✓1C //OfS 3k9Z �1/3Ze- Wj W4 `/°Jc3L <br />Electrical Contractor Mail Address City State/Zip Phone <br />t 4t,0e-c.T 943710L ~% UGC CV <br />Slate Lirense Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, A4C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />L=�<�l u4 13�j <br />1 hereby ceAify that 1 have read and examined this application and know the same to be We and <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 resume to give authority to <br />violate or cancel the previsions of any other state or local law regMling constriction or the <br />perfomrance of construction. That 1 am authorized by the owner of this property to perfomt the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />