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C <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 7 -a3 IZ <br />425-257-8810 - FAX 425-257-8857 -- www.evereltwa.org <br />APPLICATIONS ARE ACCEPTFD FROM 8 AM TO 4 PM 1207-100 <br />�t'_ 3 l `( Alta' ! -- <br />PROJECT ADDRESS <br />Owner <br />Mail Address City StatelZip Phone <br />,To&nr latripZ �631 �a��lui bilreye+ U41�01 4i5-11T-!6 <br />Tenant <br />Mail Address citySlalealp Phone <br />Fs r�O,-Y 35,�1 &A W l���nwoa,� W 005�/ 4Z-'1�1 3s1 <br />Electrical Contractor Mail Address /City State/Zip Phone <br />Stale License Number <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Conira t Price f Work <br />t—,�l,A trN nj��%IA- <br />Contact Person (Plan Review) <br />JIIPt/ 1MiclllL <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have 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 previsions of any other state or local law regulating construction or the <br />performance of construction. That 1 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 />i %Z--. 13 <br />FEE <br />C <br />