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low <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 /> 0 7z6� <br /> L--� <br /> Ig _ <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> C �¢ <br /> -v <br /> Tenant Mail Address City State/Zip Phone <br /> C-Al�T C-1r Ik1 s ��enK <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> zea <br /> Proposed Us of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> Description of Work to Be Done: � p ,C <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. 50 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> l 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 }-f O�s i <br /> whether specified herein or not. The granting of a permit does not presume to give authority to C I <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That/am authorized by the owner of this roperty to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.2007; <br /> 96.200 AC. <br /> , <br /> )9 3 9 l <br /> ignature Date <br />