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� l <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRcET, 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 />/ Y/.Z-7—N—// <br />PROJECT ADDRESS <br />e-����Rlq bav/c <br />Owner Mail Address City StateMp Phone <br />/ 3/ 2 q s:;u t if-2 s- <br />C'c�(�y-, 21D9/ <br />Tenant Mail Address City Statelzip phone <br />Electrical Conlr ctorIvail Address City State/Zip Phone <br />SN S�a <br />State Lice ei ss Number Contract Price of Work <br />LsM-tr <br />k _ l ► 10A L Pict K _ <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: _ p <br />T <br />j-7`/� lit S on fir f <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRi:D TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have reau and examined this application and know the same to be true and `1 U� ��rVi <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 authonty to <br />violate or cancel the provisions 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 RCW and <br />296.2 WAG. <br />� I IV <br />Signature Late <br />