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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 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />PROJECT ADDRESS <br />Owner Mail Address City State/zip Phone <br />// f f2 32 3 .4. £vt-e6f c,.( <br />Tenant M211 Address City Stale2lp Phone <br />er y /? c.... co 7y<'o Nqr.-�.Sc✓ �:� £�t•�/f !v� si6"7•'j 776 ��3s� <br />Electrical O�ontractor Mail Address city St3te/Zip Phone <br />(�errv.t.c �YL� <br />State License ((umber Contract Price of Work <br />0ck cc Sj c'c. PL:44 <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, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I nave read and examined this 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 <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other _state orlocal law regulating construction or the <br />performance of construction. That/ 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 />i 296.200 WAC, t' — <br />Sigttat re Dare <br />