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Feb 25 16 04:55a 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 /> 1�� 5 6y <br /> PROJECT ADDRESS <br /> Owner Mail Address City StatelZip Phone <br /> 5'-j(h <br /> Tenant Mail Address City SlaWZip Phone <br /> t <br /> cal Contractor Maii Address City StatelZip Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: J ��� C ? <br /> JC �LZ � rr <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE 1N RACEWAYS, MC OR AC CABLE. 00 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that/hav d and examined this application and know the same to be true and <br /> correct. Alf provisions Jaw and ordinances governing this type of work will be completed <br /> whether specified her n Orn t. The granting of a permit does not presume to give authority to <br /> violate or cancel the rovisi sof any other state or local law regulating construction or the <br /> performance of co tructr . Tha am authorized by the owner of this roperty to perform the <br /> work for which ap icatio is mad and I comply with the State Contractors Law 18.2 7 RCw and <br /> 295.200 WAC. <br /> Sig atu Date <br />