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Jun 11 16 08:05a Bob Jack 15096746777 P.1 <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 /> PROJECT ADDRESS <br /> ,)/"Ll Z4 <br /> Owner Mail Address <br /> City StateiZip I Phone <br /> Tenant Mail Address City Statemp Phone <br /> /siR)�) //r .� <br /> Electrical Contractor �� �Z <br /> �'� C��✓z✓� �1 <br /> Mail Address City State/Zip Phone <br /> K9 y e If <br /> State License Number Contract Price of Work <br /> Propo ed Use of Building Contact Person (Plan Review) <br /> >> L4 . <br /> description of Work to Be Done: <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE, <br /> CITY OF EVERETT LOCAL SALES TAX CODE 15 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 , —� <br /> whether specified herei t. The granting of a permit does not resume to give authority to v <br /> violate or cancel the p vision of any other state or local law regulating construction or the <br /> perfowork rmance of cons action. at 1 am authorized by the owner of this roperty to perform the <br /> 296.200 WAC.for which appli ation is m de and l comply with the State Contractors Law 18.27 RCW and <br /> Signat <br /> Date <br />