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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 />PROJECT ADDRESS <br />Tenant <br />.SY57F--) S" <br />Electrical Contractor <br />SY'.rr ti , r c . fV <br />State License Number <br />o �riCam— <br />Proposed Use of Building <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />/QC- % I u✓t S/1u <br />Mail Address <br />Mad Address <br />Mail Address <br />Square Footage (If residential new construction, remodel or addition) <br />//�7[' <br />/ ��rr [a (I rJ�•1 h ytr 1rs t <br />City State/zip Phone <br />City StaterZ,p Phone <br />city Stalerz'p Phone <br />Contract Price of'Arork <br />Contact Person (Plan Review) <br />Description of Work to Be Done: <br />. /j c(d i-D C/L� <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 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 <br />whether speahed herein ornot. The granting of a permit does not presume to givo authonty to <br />violate or cancel the provisions of any other state or local law reguPting construction or the <br />perforrnanco of conspruchon. That I am authodzed by the owner of this properly to perform the <br />work for which application is made and 1 comply with the State Contrac tors Law 18 27 RCW and <br />296.200 WAC. <br />FEE <br />322 <br />E-Izou-13{ <br />J/,3 <br />/ 2, <br />