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• S <br /> 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 <br /> lit L �„��,,,�„ A&a <br /> PROJECT ADDRESS <br /> ( 41 ( 1 i - L-o N..'&r+'� Ave t eaLeir L— t e Z_v 1 <br /> Owner Mail Address City State/Zip Phone <br /> t.-1(A <br /> Tenant Mail Address City State/Zip Phone <br /> l acr3 - � ,s, LA_Ack etg aq-I `E -4 B 5 - <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> 6 P-Z. - � G t�.l�t l.�� t/' `�`�1�'J" <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage (If residential new construction, remodel or addition) <br /> Description of Work to Be Done: 46.6 ut vel` l►.l <br /> IAANOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. 50 <br /> CD <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I 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 I I O I _ <br /> whether specified herein or not. The granting of a permit does not presume to give authority to [ 1 <br /> 0753 <br /> violate or cancel the provisions of any other state or local law regulting construction or the <br /> performance of construction. That 1 am authorized by the owner of thisroperty 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- <br /> .�_ Date <br />