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j ELECTRICAL PERMIT APPLICATION <br /> I CITY OF EVERET 1 P=RMI ' SERVICES <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 <br /> J 425-257-8810 - FAX 425-257-8857 —wwwn/.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> f <br /> I 55 �c5f' ave L�). <br /> PROJECT ADDRESS <br /> Leda Groaell 550A d5F^ C4ue J. Cyea.ff, W/4 ag2o3 (q19 3qq _ a0Dq <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> ffl)s 6&�. 1q co box 10 SS Lab Stevevts q (4,'?s) 3� <br /> Electrical Contractor Mail Address Cih; State/Zip Phone <br /> State License Number / <br /> }, Contract Price of Work I <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: C W, ( Vq , G <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. i rrte�, <br /> i v/ <br /> j <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that l 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 73q <br /> whether specified herein or not. The granting of a permit does not resume to give authority to <br /> violate or Cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That 1 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 i <br /> 290.200 WAC. <br /> Signature Date I <br /> I <br />