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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 - vnvw everettwa org Q a 5�t1 <br />PROJECT ADDRESS <br />Tenon', <br />Electncal Contractor <br />State lice, lbe Number <br />kt s l �ii":14►Q ) <br />Proposed Use of Building <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />%1V Address 4111 <br />Mae Address CAY <br />&Lsil—rl <br />Mad Address <br />L w I I olp-0C25 <br />q2z;-5 <br />StalerZ�p Phone <br />StatelZ,p Phone <br />42Ls --+ o- <br />--L � S' <br />State2sp Phone <br />Contract Price of Worn <br />Contact Person Man Review) <br />Desorption of Work to Be Done <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS fAC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 herehy c-0111ry lhal I have read and e►am,ned (his application and know the same to be true correct All Provisions of laws and ordinances governing this type of work end eted <br />wall be compl <br />a/tother spec lied herein or not The granting of a permit does not presume to give mpO alittonty fo <br />violate or c8nrel the Provisions of any other state or local law regulating consfrrrclron or the <br />perfomtance of construction That 1 am authorized by the owner of this property to the <br />work for Which appkatrn is made and I comply with the State Contractors Law 18 a perform RCW end <br />296 200 WAC <br />FEE <br />00 <br />j 1r� i�C,1 <br />